MRS. JUDY A PETERSON (NPI# 1386704476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386704476 |
| Entity Type | Individual |
| Full Name | MRS. JUDY A PETERSON |
| Other Name | MRS. JUDY LOUTHER PETERSON |
| Credential | R.PH., M.S. |
| Practice Address |
2200 Bergquist Dr Suite 1 Lackland Afb TX 78236-9908 |
| Mailing Address |
145 Seewald Rd Boerne TX 78006-5005 |
| Practice Telephone | 2102927396 |
| Practice Fax Number | 2102926748 |
| Mailing Telephone | 8302305524 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
16899 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285006684 | Judy Patricia Peterson | Occupational Therapy Assistant | 2425 Nieto Way, Medford, OR 97504-8577 | 2015-10-24 |
| 1033177985 | Judy L Peterson | Nurse Practitioner | 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, MN 55102 | 2006-05-02 |
| 1750376216 | Judy Garrett Peterson | Pharmacist | 1000 Johnson Ferry Rd Ne, Northside Hospital Pharmacy, Atlanta, GA 30342-1606 | 2005-09-12 |
| Street Address |
2200 BERGQUIST DR SUITE 1 |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-9908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047959 | Evan M Dilley | Military Health Care Provider | 2200 Bergquist Dr, Lackland Afb, TX 78236-9907 | 2020-03-11 |
| 1760737944 | Simmie Douthit | Pharmacist | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236 | 2012-07-13 |
| 1275834186 | Arnaldo Javier Figueroa | Pharmacist | 2200 Bergquist Dr, 59psq/sgvpi, Lackland Afb, TX 78236 | 2010-11-09 |
| 1629217500 | Roger W Finley | Respiratory Therapist, Certified | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2009-02-17 |
| 1538308713 | Christopher P Flores | Respiratory Therapist, Certified | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2009-02-12 |
| 1720232549 | Christina Mcquaide | Pharmacist | 2200 Bergquist Dr, Lackland Afb, TX 78236-9907 | 2008-11-06 |
| 1881843738 | Jeffrey Scott Woolford | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2008-09-16 |
| 1932362415 | Joseph David Novak | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Whmc/ge, Suite 1, Lackland Afb, TX 78236-9907 | 2008-07-06 |
| 1578723144 | Bronwyn Louis Young II | Emergency Medicine | 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236-9907 | 2008-06-16 |
| 1558536128 | Christopher Albert Meinhart | Student in an Organized Health Care Education/Training Program | 2200 Bergquist Dr, Whmc/ge Suite 1, Lackland Afb, TX 78236-9907 | 2008-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016901 | Jocelyn Joseph | Pharmacist | 1515 Holcombe Blvd # Y2.5610, Houston, TX 77030-4000 | 2020-02-26 |
| 1295369643 | Alexandra Lovell | Pharmacist | 1515 Holcombe Blvd Ofc B6.4606, Houston, TX 77030-4000 | 2020-02-25 |
| 1063046571 | Michael Frei | Pharmacist | 1515 Holcombe Blvd Ofc Y2.5610, Houston, TX 77030-4000 | 2020-02-24 |
| 1336772946 | Caitlin Rausch | Pharmacist | 1515 Holcombe Blvd # B6.4606, Houston, TX 77030-4000 | 2020-02-21 |
| 1255813465 | Amelia Matherly Chancellor | Pharmacist | 4383 Medical Dr Ste 2051, San Antonio, TX 78229-3307 | 2018-09-04 |
| 1760907927 | Robert Alan Nunan | Pharmacist | 7777 Forest Ln Ste C707, Dallas, TX 75230-6861 | 2017-08-09 |
| 1689966269 | Frank Joesph Klementich | Pharmacist | 4218 Castle Dr, Santa Fe, TX 77510-6603 | 2011-05-13 |
| 1740479419 | Michael Strother Oholendt | Pharmacist | 6565 Fannin St # Db1-09, Houston, TX 77030-2703 | 2007-10-18 |
| 1033319082 | Sarah Margaret Gressett | Pharmacist | 4500 S Lancaster Rd # R119b, Dallas, TX 75216-7167 | 2007-07-18 |
| 1013129550 | Stacie A Bean | Pharmacist | 1515 Holcombe Blvd. Box 377, Department of Pharmacy, Houston, TX 77030 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
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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.