Active NPI
Ray W Testerman, PHARMD
- Pharmacist
- Prescott, AZ
National Provider Identifier
1912208422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S024282
- Practice address
- 1044 Willow Creek Rd
Prescott, AZ 86301-1642 - Phone
- (928) 443-0300
- NPI assigned
- Nov 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00039921 | WA | |
| Pharmacist | 183500000X | S024282 | AZ | Primary |
Addresses
Primary practice location
1044 Willow Creek Rd
Prescott, AZ 86301-1642
Mailing address
1044 Willow Creek Rd
Prescott, AZ 86301-1642
Phone (928) 443-0300
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S024282 | AZ | MD | Pharmacist |
| PH00039921 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1912208422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1044 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011642",
"telephone_number": "928-443-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 WILLOW CREEK RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011642",
"telephone_number": "928-443-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESTERMAN",
"first_name": "RAY",
"middle_name": "W",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-15",
"last_updated": "2020-11-10",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00039921",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S024282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott, AZ
- Teri a. Sweginnis FNP-C, PLLC
- Ternion Long Term Care PLLC
- Terra Nova Behavioral Healthcare LLC
- Leslie Terrell, P.T.
- David J Terry, DPM
- Laurie Alice Tetreault, M.A.
- Bart J Teuscher, PHARMD
- The Alarm Connection
- The Caring Presence, LLC
- The Center for Orthopedic Research and Education, Inc. (The CORE Institute)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.