DR. SAMANTHA LEA PETERSON (NPI# 1497125835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497125835 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA LEA PETERSON |
| Credential | PHARM.D. |
| Practice Address |
401 2nd St Ida Grove IA 51445-1302 |
| Practice Telephone | 7123642120 |
| Mailing Telephone | 7123642120 |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21459 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790146 | Samantha Maree Peterson | Speech-Language Pathologist | 2850 Columbine Rd, Denver, CO 80221-7600 | 2020-11-03 |
| 1619584190 | Samantha Peterson | Counselor | 1717 Swede Rd Ste 212, Blue Bell, PA 19422-3372 | 2020-09-28 |
| 1386129195 | Samantha Michelle Peterson | Nurse Practitioner | 10023 S Us Highway 1, Port St Lucie, FL 34952-5643 | 2018-09-27 |
| 1497231369 | Samantha Peterson | Dietitian, Registered | 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 | 2018-07-13 |
| 1659803823 | Samantha Peterson | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-28 |
| 1033668629 | Samantha Peterson | Counselor | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2016-09-24 |
| 1245649268 | Samantha Peterson | Physical Therapist | 4101 Raeford Rd, Fayetteville, NC 28304-4114 | 2014-08-04 |
| 1982941621 | Samantha Mary Peterson | Case Manager/Care Coordinator | 2640 Breslauer Way, Redding, CA 96001-4246 | 2013-01-15 |
| Street Address |
401 2ND ST |
| City | IDA GROVE |
| State | IA |
| Zip Code | 51445-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548756760 | Malinda Lynne Alm | Pharmacist | 401 2nd St, Ida Grove, IA 51445-1302 | 2018-07-11 |
| 1730675414 | Courtney Donnelli | Pharmacist | 401 2nd St, Ida Grove, IA 51445-1302 | 2018-07-06 |
| 1497139448 | Sarah Daniel | Pharmacist | 401 2nd St, Ida Grove, IA 51445-1302 | 2015-07-18 |
| 1679662290 | Lewis Family Drug LLC | Pharmacy | 401 2nd St, Ida Grove, IA 51445-1302 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518320241 | Shopko Stores Operating Co., LLC | Durable Medical Equipment & Medical Supplies | 202 Susan Lawrence Drive, Ida Grove, IA 51445 | 2016-03-31 |
| 1508162264 | Midwest Properties of Ida Grove L.L.C. | Assisted Living Facility | 800 Byron Godbersen Dr, Ida Grove, IA 51445 | 2011-01-28 |
| 1497767099 | Laura M Parks | Dentist | 700 East 2nd St, Ida Grove, IA 51445 | 2006-08-12 |
| 1437766201 | Jacqueline Ann Ellison | Nurse Practitioner | 101 E 2nd St, Ida Grove, IA 51445 | 2020-09-25 |
| 1437216801 | Jay Jerald Bleil | Chiropractor | 616 2nd St, Ida Grove, IA 51445-1012 | 2007-01-03 |
| 1851714638 | Ida Family Chiropractic Incorporated | Chiropractor | 616 2nd St, Ida Grove, IA 51445-1012 | 2014-01-29 |
| 1831539162 | Debra Ann Ulrich | Chiropractor | 616 2nd St, Ida Grove, IA 51445-1012 | 2013-07-01 |
| 1740650613 | Heather Marie Conover | Counselor | 106 Green St, Ida Grove, IA 51445-1028 | 2015-10-04 |
| 1043292949 | Family Eye Care of Ida Grove PC | Optometrist | 415 2nd St, Ida Grove, IA 51445-1302 | 2005-11-16 |
| 1992775662 | Troy L Currier | Optometrist | 415 2nd St, Ida Grove, IA 51445-1302 | 2006-01-25 |
| Find all providers in zip 51445 | ||||
| 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 |
|---|---|---|---|---|
| 1295358729 | Alex J Weirich | Pharmacist | 701 E 2nd St, Ida Grove, IA 51445-1699 | 2020-05-19 |
| 1548756760 | Malinda Lynne Alm | Pharmacist | 401 2nd St, Ida Grove, IA 51445-1302 | 2018-07-11 |
| 1730675414 | Courtney Donnelli | Pharmacist | 401 2nd St, Ida Grove, IA 51445-1302 | 2018-07-06 |
| 1497139448 | Sarah Daniel | Pharmacist | 401 2nd St, Ida Grove, IA 51445-1302 | 2015-07-18 |
| 1942627740 | Scott G Forby | Pharmacist | 701 E 2nd St, Ida Grove, IA 51445-1666 | 2014-03-19 |
| 1508985508 | Russell C. Spotts | Pharmacist | 506 2nd St, Ida Grove, IA 51445-1305 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708070 | Bethany Vogts | Pharmacist | 1825 29th St Ne Ste E, Cedar Rapids, IA 52402-3452 | 2020-10-20 |
| 1356948103 | Kate Elizabeth Kurt | Pharmacist | 1605 Associates Dr Ste 101, Dubuque, IA 52002-2270 | 2020-10-05 |
| 1295348605 | Bret Kinne | Pharmacist | 120 S Story St Ste C, Boone, IA 50036-4739 | 2020-08-25 |
| 1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
| 1669080842 | Darby A Messerschmitt | Pharmacist | 118-120 North 1st Avenue, Winterset, IA 50273 | 2020-07-14 |
| 1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
| 1124645270 | David John Thomsen | Pharmacist | 133 Green Mountain Dr, Iowa City, IA 52245-3817 | 2020-07-05 |
| 1578180790 | Emily Brynn Vahary | Pharmacist | 200 Hawkins Dr # Cc101gh, Iowa City, IA 52242-1009 | 2020-07-03 |
| 1902422108 | Shanrael Stoner | Pharmacist | 2255 John F Kennedy Rd Ste 16, Dubuque, IA 52002-2883 | 2020-06-23 |
| 1235755000 | Casey Villhauer | Pharmacist | 4105 Nw 5th St, Ankeny, IA 50023-8710 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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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.