LYNN MARIE PETERSON (NPI# 1255612263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255612263 |
| Entity Type | Individual |
| Full Name | LYNN MARIE PETERSON |
| Credential | RPH |
| Practice Address |
840 W Sherman Blvd Muskegon MI 49441-3533 |
| Practice Telephone | 2317598587 |
| Practice Fax Number | 2317596108 |
| Mailing Telephone | 2317598587 |
| Mailing Fax Number | 2317596108 |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2011-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302410656 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114090743 | Lynn T Peterson | Speech-Language Pathologist | 1310 S Union Ave Ste A100, Tacoma, WA 98405-1907 | 2006-11-15 |
| 1396297446 | Lynn R Peterson | Counselor | 16351 I94, Sentinel Butte, ND 58654-9500 | 2016-10-25 |
| 1316355472 | Lynn Peterson | Pharmacist | 300 11th St W, Williston, ND 58801-5159 | 2014-07-31 |
| 1477876787 | Lynn R Peterson | Physical Therapist | 1700 Ne Indian River Dr, Jensen Beach, FL 34957-5853 | 2010-03-02 |
| 1306042452 | Lynn Peterson | Physical Therapist | 1701 N George Mason Dr, Arlington, VA 22205-3610 | 2007-06-25 |
| 1316019953 | Lynn Peterson | Physical Therapist | 3576 Saint Johns Ave, Jacksonville, FL 32205-8446 | 2006-11-15 |
| 1720165160 | Lynn A Peterson | Nurse Anesthetist, Certified Registered | 714 W Pine St, Newport, WA 99156-9046 | 2006-11-01 |
| 1710099460 | Lynn Peterson | Social Worker | 17273 State Route 104, Chillicothe, OH 45601-8608 | 2006-08-31 |
| Street Address |
840 W SHERMAN BLVD |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548275654 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2006-07-29 |
| 1043827298 | Lauren Rene Fitzgerald | Pharmacy Technician | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2020-09-30 |
| 1952912974 | Kelsey Anne Drake | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2020-08-13 |
| 1316562234 | Leke Ndehzio Asong | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2020-06-16 |
| 1689016800 | Laney A Mcintire | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2013-07-30 |
| 1316229024 | Andrew Adam Parmley | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2011-09-20 |
| 1578844098 | Denise Marie Hassen | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2011-08-30 |
| 1396025896 | Lisa Mortland | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2011-08-29 |
| 1114207628 | Marcia D'alcorn | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2011-08-29 |
| 1881974327 | Larry Alan Bullerman | Pharmacist | 840 W Sherman Blvd, Muskegon, MI 49441-3533 | 2011-08-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| 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 |
|---|---|---|---|---|
| 1497123673 | Rite Aid | Pharmacist | 2213 E Hile Road, Muskegon, MI 49444 | 2015-09-04 |
| 1467735654 | Richard Thomas Poort | Pharmacist | 1771 Holton Rd., Muskegon, MI 49445 | 2011-09-23 |
| 1629350848 | Deirdre Kohley | Pharmacist | 2484 Winchester Dr, Muskegon, MI 49441-3238 | 2011-09-14 |
| 1225350622 | Barbara Marie Mattzela | Pharmacist | 1501 E Apple Ave Ste C, Muskegon, MI 49442-3762 | 2010-02-25 |
| 1932421823 | Jacalyn Nagel | Pharmacist | 1501 E Apple Ave, Muskegon, MI 49442-3762 | 2010-02-19 |
| 1598996027 | Patrick David Obrien | Pharmacist | 3370 Nina Ln, Muskegon, MI 49441-4200 | 2009-07-31 |
| 1578687562 | Laura M Horan | Pharmacist | 821 E Apple Ave, Muskegon, MI 49442-3737 | 2007-03-17 |
| 1013048784 | Kandance Jean Hartman | Pharmacist | 2635 Henry St, Muskegon, MI 49441 | 2007-03-07 |
| 1366519035 | Megan Jeanine Grelewicz | Pharmacist | 1391 E Sherman Blvd, Muskegon, MI 49444-1802 | 2006-11-29 |
| 1922101211 | Suzette Michele Adams | Pharmacist | 700 W. Norton Ave, Muskegon, MI 49441 | 2006-09-06 |
| Find all providers in MUSKEGON | ||||
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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.