Samuel John Testa, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

112884 Issued in MN

Practice address

1601 State Ave NW
Sterling Long Term Care Pharmacy
Owatonna, MN 55060-5689

Phone

(507) 455-9684

Fax

(507) 455-1750

NPI assigned

Jun 8, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1609138346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 STATE AVE NW",
            "address_2": "STERLING LONG TERM CARE PHARMACY",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550605689",
            "telephone_number": "507-455-9684",
            "fax_number": "507-455-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 STATE AVE NW",
            "address_2": "STERLING LONG TERM CARE PHARMACY",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550605689",
            "telephone_number": "507-455-9684",
            "fax_number": "507-455-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTA",
        "first_name": "SAMUEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "112884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Owatonna, MN
• Providers in Owatonna, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.