MR. WILLIAM FRANK PETERSEN (NPI# 1124207808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124207808 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM FRANK PETERSEN |
| Credential | R.PH. |
| Practice Address |
8 Magenta Ln East Northport NY 11731-5116 |
| Practice Telephone | 6313685412 |
| Mailing Telephone | 6313685412 |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-11-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28113 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477690105 | William Loftin Petersen | Optometrist | 34179 Golden Lantern St, Suite 201, Dana Point, CA 92629-2800 | 2007-01-31 |
| 1225050891 | William M Petersen | Family Medicine | 614 Michigan Ave, Walker, MN 56484-1390 | 2006-07-24 |
| 1003250887 | William Patrick Petersen Jr. | Orthopaedic Surgery | 1635 N George Mason Dr Ste 310, Arlington, VA 22205-3616 | 2013-04-23 |
| 1336276948 | William Marc Petersen | Dentist | 2532 W Francis Ave, Spokane, WA 99205-7012 | 2007-02-28 |
| 1801933197 | William Carl Petersen Jr. | Pediatrics | 1204 W Main St, Charlottesville, VA 22903-2824 | 2007-01-30 |
| 1124109400 | William C Petersen | Psychologist | 5351 Delmar Blvd, Saint Louis, MO 63112-3146 | 2006-10-17 |
| 1902912504 | William L Petersen | Ophthalmology | 48 Main St, Massena, NY 13662-1984 | 2006-08-23 |
| 1881709079 | William A Petersen | Pediatrics | 10 Century Hill Dr, Latham, NY 12110-2162 | 2006-08-20 |
| 1285674317 | William C Petersen | Anesthesiology | 601 Childrens Ln, Norfolk, VA 23507-1910 | 2006-06-07 |
| 1770544579 | William G. Petersen | Internal Medicine | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-31 |
| Street Address |
8 MAGENTA LN |
| City | EAST NORTHPORT |
| State | NY |
| Zip Code | 11731-5116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675899 | Deborah Carol Kassan | Physical Therapist | 457 Clay Pitts Road, East Northport, NY 11731 | 2020-09-30 |
| 1952923401 | Angela Marie Trapani | Psychologist | 34 Ashwood Ct, East Northport, NY 11731 | 2020-05-07 |
| 1013492016 | Kim Cooke | Social Worker | 42 Rofay Drive, East Northport, NY 11731 | 2018-09-26 |
| 1588163547 | Christine Catherine Ambrosio | Specialist | 229 Laured Rd East, East Northport, NY 11731 | 2018-02-06 |
| 1043729965 | Gavin Theofield | Social Worker | 418 2nd Avenue W, East Northport, NY 11731 | 2017-09-22 |
| 1518486489 | Brynn Katherine Maxwell | Specialist | 38 Furwood Drive, East Northport, NY 11731 | 2017-09-12 |
| 1598209934 | Clemencia Naruta | Registered Nurse | 413 Second Street, East Northport, NY 11731 | 2016-12-05 |
| 1033669460 | Danielle Franzone | Social Worker | 1 Klaibar Lane, East Northport, NY 11731 | 2016-10-10 |
| 1619323789 | Camille Martin | Registered Nurse | 5 Gildare Drive, East Northport, NY 11731 | 2016-05-09 |
| 1922467331 | Saadia Z Yunus | Marriage & Family Therapist | 554 Larkfield Rd Ste 10i, East Northport, NY 11731 | 2016-02-12 |
| Find all providers in zip 11731 | ||||
| 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 |
|---|---|---|---|---|
| 1891201083 | Zille Huma Qureshi | Pharmacist | 95 Lincoln Dr, East Northport, NY 11731-2717 | 2017-12-26 |
| 1356895379 | Nicole Badillo | Pharmacist | 21 Markwood Ln, East Northport, NY 11731-4013 | 2016-08-08 |
| 1265709265 | George Angelopoulos | Pharmacist | 517a Larkfield Rd, East Northport, NY 11731 | 2011-11-19 |
| 1598066003 | Kevin Chung | Pharmacist | 1 Andiron Ct, East Northport, NY 11731-6300 | 2010-11-15 |
| 1932422961 | Anthony Romano | Pharmacist | 555 Larkfield Road, East Northport, NY 11731-4203 | 2010-03-04 |
| 1285956086 | Sunil Uppal | Pharmacist | 555 Larkfield Rd, East Northport, NY 11731-4203 | 2010-02-19 |
| 1255509956 | Anita Glashow | Pharmacist | 3 Kimber Ct, East Northport, NY 11731-1355 | 2008-02-15 |
| 1396926390 | Victoria Shea | Pharmacist | 577 Larkfield Rd, East Northport, NY 11731-4203 | 2007-11-18 |
| 1447311360 | Kevin S Mcquade | Pharmacist | 517a Larkfield Rd., East Northport, NY 11731 | 2006-12-13 |
| 1619038635 | Asl Pharmacy Inc | Pharmacist | 517 Larkfield Rd Ste A, East Northport, NY 11731-4208 | 2006-12-13 |
| Find all providers in EAST NORTHPORT | ||||
| City | EAST NORTHPORT |
| Zip Code | 11731 |
Please comment or provide details below to improve the information on MR. WILLIAM FRANK PETERSEN.
| 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.