Individual provider Active NPI

Samuel Ontko, RPH

  • Pharmacist
  • Sandusky, OH
National Provider Identifier
1609297480
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03318727 Issued in OH
Practice address
4702 Milan Rd
Sandusky, OH 44870-8911
Phone
(419) 627-7910
Fax
(419) 627-7965
NPI assigned
Dec 23, 2013
Last updated
Dec 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03318727 OH Primary

Addresses

Primary practice location

4702 Milan Rd
Sandusky, OH 44870-8911

Mailing address

4702 Milan Rd
Sandusky, OH 44870-8911
Phone (419) 627-7910

Other names 1

  • Sam Ontko Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03318727OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1609297480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 MILAN RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448708911",
            "telephone_number": "419-627-7910",
            "fax_number": "419-627-7965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 MILAN RD",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448708911",
            "telephone_number": "419-627-7910",
            "fax_number": "419-627-7965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTKO",
        "first_name": "SAMUEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03318727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "ONTKO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.