DONALD CLINTON PETERS (NPI# 1497820005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497820005 |
| Entity Type | Individual |
| Full Name | DONALD CLINTON PETERS |
| Practice Address |
12033 Agency Rd Parker AZ 85344-7718 |
| Mailing Address |
2320 Bryce Ln Lake Havasu City AZ 86406-8356 |
| Practice Telephone | 9286693330 |
| Practice Fax Number | 9286693333 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP00003701 | NM | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 5857 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639247687 | Donald Lee Peters | Chiropractor | 2 S Mayes St, Pryor, OK 74361-3232 | 2006-11-30 |
| 1194709162 | Donald Walter Peters | Psychiatry & Neurology | 791 Jonestown Rd, Winston Salem, NC 27103-1252 | 2005-12-02 |
| 1932716503 | Donald Peters | Case Manager/Care Coordinator | 721 Fawcett Ave, Tacoma, WA 98402-5502 | 2020-09-28 |
| 1194162586 | Donald Richard Peters | Social Worker | 38460 Lincoln Trl, Suite 106, North Branch, MN 55056-5834 | 2013-05-27 |
| 1639157191 | Donald R. Peters | Radiology | 1321 Colby Avenue, Providence Everett Medical Center, Everett, WA 98206 | 2006-01-05 |
| Street Address |
12033 AGENCY RD |
| City | PARKER |
| State | AZ |
| Zip Code | 85344-7718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376510495 | Alice D. Calhoun | Pediatrics | 12033 Agency Rd, Parker, AZ 85344-7718 | 2006-03-07 |
| 1255941787 | Kimberly Christine Chavez | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-08-10 |
| 1518575539 | Heidi Anne Eikom | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2020-07-15 |
| 1093363020 | Folaremi Adeyemo | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-09-03 |
| 1265087837 | Lisa Tung | Pharmacist | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-09 |
| 1588219323 | Donna Triplett | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-08-08 |
| 1992365621 | Nichole L Hord | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-14 |
| 1942868187 | Lisa Michelle Croley | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-06-03 |
| 1942764253 | Astrid Peck | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-31 |
| 1811451198 | Veo Prakai Daly | Registered Nurse | 12033 Agency Rd, Parker, AZ 85344-7718 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1811419534 | Cheryl Brooks | Registered Nurse | 12033 W. Agency Ave, Parker, AZ 85344 | 2017-07-14 |
| 1356877716 | Damian Jenkins | Specialist/Technologist, Other | 1200 S Mohave Ave, Parker, AZ 85344 | 2017-05-04 |
| 1821434184 | Rio Vista Surgical Associates P.C. | Surgery | 1200 Mohave Dr, Parker, AZ 85344 | 2013-05-14 |
| 1881039600 | Juan G Lopez | Counselor | 13376 1st Ave, Parker, AZ 85344 | 2013-05-07 |
| 1942581699 | Rocky Mountain Holdings LLC | Ambulance | 913 S Ocotillo Ave, Parker, AZ 85344 | 2011-09-07 |
| 1467732271 | Adam Caton | Podiatrist | 1713 S Kofa Ave Ste K, Parker, AZ 85344 | 2011-08-24 |
| 1902137516 | Shana Lee Tackett | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd, Parker Indian Health Center, Parker, AZ 85344 | 2010-01-21 |
| 1649501339 | Alice Rodriguez | Student in an Organized Health Care Education/Training Program | 12330 Agency Rd., Parker, AZ 85344 | 2010-01-20 |
| 1821328931 | Armando Sosa Jr. | Student in an Organized Health Care Education/Training Program | 12330 Agency Road, Parker, AZ 85344 | 2010-01-12 |
| Find all providers in zip 85344 | ||||
| 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 |
|---|---|---|---|---|
| 1689156366 | Kimberly Lynnette Kirkpatrick | Pharmacist | 12033 W Agency Ave, Parker, AZ 85344 | 2018-08-30 |
| 1225481856 | Jeffrey David Kofmehl | Pharmacist | 19695 Clubhouse Dr Apt 130, Parker, CO 80138-6221 | 2016-07-19 |
| 1528446010 | Maria T Ordonez Juarez | Pharmacist | 20755 Omaha Ave, Parker, CO 80138-3104 | 2015-05-15 |
| 1952799942 | William Gene Garner | Pharmacist | 11229 Jordan Ct, Parker, CO 80134-7662 | 2014-12-30 |
| 1760802367 | Billie Marseilles | Pharmacist | 10605 Cottoneaster Way, Parker, CO 80134-3737 | 2014-04-22 |
| 1053650614 | Stephen Douglas Bayens | Pharmacist | 7338 Meadow Vw, Parker, CO 80134-5474 | 2013-02-01 |
| 1447522453 | Jean Chrisman | Pharmacist | 10679 Stonemeadow Dr, Parker, CO 80134-9587 | 2012-02-07 |
| 1528341245 | Aster Zewdie Besufekad | Pharmacist | 11650 S Tumblebrush St, Parker, CO 80134-3094 | 2011-09-20 |
| 1710269485 | Rebecca Susan Realsen | Pharmacist | 10794 Vista Rd, Parker, CO 80138-3130 | 2011-09-19 |
| 1053613661 | Kim Marcom | Pharmacist | 19680 E Creekside Dr, Parker, CO 80134-4865 | 2010-12-02 |
| Find all providers in PARKER | ||||
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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.