DR. KEVIN RICHARD PETERSON


Address: 2324 S 156th Cir, Omaha, NE 68130-2511
Phone: 4023305482

DR. KEVIN RICHARD PETERSON (NPI# 1174712434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174712434
Entity Type Individual
Full Name DR. KEVIN RICHARD PETERSON
Credential PHARMD RPH
Practice Address 2324 S 156th Cir
Omaha
NE 68130-2511
Practice Telephone 4023305482
Practice Fax Number 4023302697
Mailing Telephone 4023305482
Mailing Fax Number 4023302697
Enumeration Date 2007-10-23
Last Update Date 2010-01-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 11834 NE Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NE PHARMACY LICENSE 11834 01

Other Providers KEVIN PETERSON

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1407499957 Kevin Michael Peterson Dentist 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 2019-10-28
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1053527895 Kevin Howard Peterson Psychologist 31 Baltimore St, Suite 103, Cumberland, MD 21502-3024 2007-05-16
1558327064 Kevin P Peterson Family Medicine 1414 Maryland Ave E, Umphysicians Phalen Village Clinic, Minneapolis, MN 55106 2006-04-24
1154972180 Kevin Peterson Nurse Anesthetist, Certified Registered 500 Harvard St Se, Minneapolis, MN 55455-0363 2019-09-20
1811543895 Kevin Nicholas Peterson Physical Therapist 980 Roosevelt Ste 100, Irvine, CA 92620-3670 2019-08-14
1215412317 Kevin Bradley Peterson Audiologist 21911 76th Ave W Ste 211, Edmonds, WA 98026-7918 2018-09-25
1215466321 Kevin George Peterson Physical Therapist 898 Hampton Rd, Mcdonough, GA 30253-6514 2017-06-12
1538533393 Kevin Peterson Massage Therapist 3005 86th St, Urbandale, IA 50322-4001 2015-11-17
1669633343 Kevin W. Peterson Pediatrics 307 E Scenic Valley Ave, Indianola, IA 50125-4865 2008-06-24

Office Location

Street Address 2324 S 156TH CIR
City OMAHA
State NE
Zip Code 68130-2511

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861998270 Samantha June Curto Nurse Practitioner 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 2018-04-04
1780196451 Heritage Oncare Home Health LLC Home Health 16934 Frances St Ste 200, Omaha, NE 68130 2017-11-02
1497281745 Dental Professionals of Nebraska, PC Dentist 17810 Pierce Plaza, Suite 100, Omaha, NE 68130 2017-05-05
1891166492 Stephanie Tupper Speech-Language Pathologist 16338 Oak Circle, Omaha, NE 68130 2015-10-08
1194036723 Anthony John Macdissi Internal Medicine 16901 Lakeside Hills Court, Attn: Hospital Medicine Dept., Omaha, NE 68130 2010-06-29
1568613305 Kelly Marie Barkmeier Occupational Therapist 1906 South 196th Street, Omaha, NE 68130 2008-10-09
1306009758 Melissa Sue Loseke Family Medicine 17021 Lakeside Hills Plz #200, Omaha, NE 68130 2008-07-07
1477724417 Denise L. Pollard Nurse Practitioner 17525 Gold Plaza Ste 116, Omaha, NE 68130 2008-03-18
1508053943 Omaha Family Medicine, P.C. Family Medicine 17841 Pierce Plz, Omaha, NE 68130 2007-10-01
1669672523 Jennifer L Liu Family Medicine 16909 Lakeside Hills, Ste 300, Omaha, NE 68130 2007-07-19
Find all providers in zip 68130

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598365249 Kenneth Fuchtman Pharmacist 4969 S 174th Ave, Omaha, NE 68135-3463 2020-10-30
1073120796 Derek Eugene Popken Pharmacist Nebraska Medicine, 987400 Nebraska Medical Center, Omaha, NE 68198-7400 2020-09-27
1003441874 Riddhi Prakashbhai Pharmacist 4578 S 60th St, Omaha, NE 68117-1217 2020-03-11
1083249569 Katrina Johanna Keebler Pharmacist 8315 W Center Rd, Omaha, NE 68124-3111 2020-03-05
1578103644 Nathan L Suck Pharmacist 2115 S 61st St, Omaha, NE 68106-2129 2020-01-07
1427696152 Suzanne Dee Anderson Pharmacist 16101 Evans St Ste 101, Omaha, NE 68116-6447 2019-12-12
1073078713 Brooke Dee Hayes Pharmacist 10802 Farnam Dr Ste 100, Omaha, NE 68154-3200 2019-02-06
1124596812 Neveen Eed Pharmacist 4216 N 146th Plz Apt 307, Omaha, NE 68116-4397 2018-11-11
1619450293 James Robert Mcclane Pharmacist 17461 O St, Omaha, NE 68135-3445 2018-09-10
1578054482 Michael G Heskin Pharmacist 4509 S 143rd St Ste 4, Omaha, NE 68137-4521 2018-05-25
Find all providers in OMAHA

Competitor

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City OMAHA
Zip Code 68130

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Dataset Information

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.

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