RICHARD PETERSEN (NPI# 1043515224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043515224 |
| Entity Type | Individual |
| Full Name | RICHARD PETERSEN |
| Practice Address |
1227 15th Ave Longview WA 98632-3022 |
| Practice Telephone | 3605756606 |
| Practice Fax Number | 3605756608 |
| Mailing Telephone | 3605756606 |
| Mailing Fax Number | 3605756608 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | WA11429 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659696763 | Richard Petersen | Pharmacist | 11719 150th Ave, S Ozone Park, NY 11420-4020 | 2010-03-31 |
| 1841381332 | Richard M Petersen | Counselor | Usameddac Wuerzburg, Ansbach Middle High School, Ansbach, GERMANY 09177 | 2006-09-27 |
| 1972094514 | Richard Kyle Petersen | Behavioral Analyst | 5800 S Highland Dr, Holladay, UT 84121-1359 | 2018-05-18 |
| 1841431723 | Richard Joseph Petersen | Radiology | 475 S Dobson Rd, Chandler, AZ 85224-5605 | 2009-03-23 |
| 1316019862 | Richard Wayne Petersen | Chiropractor | 1309 S Mary Ave, Suite 100, Sunnyvale, CA 94087-3050 | 2006-11-13 |
| 1841203197 | Richard Alphonso Petersen | Obstetrics & Gynecology | 6200 Sunset Dr, Suite 502, South Miami, FL 33143-4828 | 2006-08-15 |
| 1407867161 | Richard Nels Petersen | Optometrist | 1745 W Avenue K, Suite A, Lancaster, CA 93534-6502 | 2006-08-10 |
| Street Address |
1227 15TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982640579 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1227 15th Ave, Longview, WA 98632 | 2006-06-21 |
| 1023529583 | Suzan Sutherland | Pharmacist | 1227 15th Ave, Longview, WA 98632-3022 | 2017-10-23 |
| 1548524978 | Kathleen D. Robinson | Pharmacist | 1227 15th Ave, Longview, WA 98632-3022 | 2012-06-29 |
| 1679844476 | Terrie L Huckaba | Pharmacist | 1227 15th Ave, Longview, WA 98632-3022 | 2012-01-25 |
| 1245516137 | Tim Shockley | Pharmacist | 1227 15th Ave, Longview, WA 98632-3022 | 2011-10-24 |
| 1801187034 | Daren Spenker | Pharmacist | 1227 15th Ave, Longview, WA 98632-3022 | 2011-04-21 |
| 1326348020 | Michael Mitchell | Pharmacist | 1227 15th Ave, Longview, WA 98632-3022 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723168 | Aubren Martin Emberton | Pharmacist | 2609 Windmill Ln, Longview, TX 75601-5953 | 2020-09-05 |
| 1457991127 | Susan Marie Foster | Pharmacist | 1606 Hillmont Ave, Longview, TX 75601-3857 | 2020-01-10 |
| 1639681711 | Cuc Linh Thi Huynh | Pharmacist | 4006 Estes Pwky, Longview, TX 75603 | 2017-10-30 |
| 1285188714 | Alfred Mudoh | Pharmacist | 710 Crepe Myrtle Ln, Longview, TX 75604-6906 | 2016-08-12 |
| 1467865576 | Gunars Arnits | Pharmacist | 2403 E Lynnwood Dr, Longview, WA 98632-5769 | 2014-06-05 |
| 1164702650 | Eunha Do | Pharmacist | 115 E Hawkins Pkwy, Apt 621, Longview, TX 75605-3614 | 2011-08-28 |
| 1316232507 | Kristen Brooks Thompson | Pharmacist | 3092 N Eastman Rd, T2283, Longview, TX 75605-5175 | 2011-06-15 |
| 1386951788 | Joseph Michael Welch | Pharmacist | 364 Triangle Shopping Ctr, Longview, WA 98632-4651 | 2010-09-07 |
| 1285958975 | Travis Mark Dunn | Pharmacist | 1100 Mccann Rd, Longview, TX 75601-4541 | 2010-03-24 |
| 1255668901 | David M Vaughan | Pharmacist | 1778 W Loop 281, Longview, TX 75604 | 2009-11-17 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.