MR. JAMES ROBERT PETERSEN (NPI# 1922219641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922219641 |
| Entity Type | Individual |
| Full Name | MR. JAMES ROBERT PETERSEN |
| Credential | RPH |
| Practice Address |
4000 University Ave Waterloo IA 50701-5640 |
| Mailing Address |
1109 Bobbi Ln Waterloo IA 50701-3230 |
| Practice Telephone | 3192361786 |
| Practice Fax Number | 3192360074 |
| Mailing Telephone | 3192361786 |
| Mailing Fax Number | 3192360074 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | IA14811 | IA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 14811 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134439755 | James Tyler Petersen | Chiropractor | 657 W 200 N, Cedar City, UT 84720-2408 | 2010-10-15 |
| 1467672774 | James Lee Petersen | Physician Assistant | 1025 Pennock Pl Ste 1421, Fort Collins, CO 80524 | 2007-04-27 |
| 1306844030 | James G Petersen | Dentist | 607 Ne 3rd St, Prineville, OR 97754-2021 | 2005-07-07 |
| 1467087494 | James Martin Petersen | Social Worker | 137 Holton Whitehall Rd, Whitehall, MI 49461-9543 | 2020-03-10 |
| 1861040735 | James Petersen | Social Worker | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2019-09-03 |
| 1275022964 | James Mathew Petersen | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2018-05-08 |
| 1891140224 | James Petersen | Pharmacist | 2525 Chicago Ave, Inpatient Pharmacy, Minneapolis, MN 55404-4518 | 2016-05-04 |
| 1992145098 | James Robert Petersen | Emergency Medicine | 1407 N Whisenant Dr, Duncan, OK 73533 | 2013-07-03 |
| 1205136157 | James Petersen | Pharmacist | 9101 E Baseline Rd, Mesa, AZ 85209-7758 | 2010-10-26 |
| 1114142072 | James T Petersen | Dentist | 1421 Nw 85th St, Suite B, Seattle, WA 98117 | 2007-04-16 |
| Street Address |
4000 UNIVERSITY AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-5640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114146578 | Carmen J Dunphy | Pharmacist | 4000 University Ave, Waterloo, IA 50701-5640 | 2007-04-24 |
| 1083939185 | Amy Bork | Dietitian, Registered | 4000 University Ave, Waterloo, IA 50701-5640 | 2010-03-31 |
| 1144459710 | Albert Dennis Mcfadden | Pharmacist | 4000 University Ave, Waterloo, IA 50701-5640 | 2009-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| 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 |
|---|---|---|---|---|
| 1891395448 | Amanda Hurtt | Pharmacist | 961 N Market St Stop 1, Waterloo, IL 62298-1061 | 2020-10-31 |
| 1710599592 | Shane Cieri | Pharmacist | 570 Waterloo Geneva Rd, Waterloo, NY 13165-1240 | 2020-08-21 |
| 1386273159 | Samantha Lynn Lenzendorf | Pharmacist | N7121 Newville Rd, Waterloo, WI 53594-9534 | 2020-04-03 |
| 1548645070 | Rosie Callaghan | Pharmacist | 1929 Us Route 20, Waterloo, NY 13165-9453 | 2015-07-27 |
| 1801286612 | Dino Pitta | Pharmacist | N7421 Mulderink Ln, Waterloo, WI 53594-9437 | 2015-02-01 |
| 1255778825 | Laura J Peloquin | Pharmacist | 1825 Logan Ave Rm 551, Allen Hospital Anticoagulation Clinic, Waterloo, IA 50703-1916 | 2013-05-23 |
| 1508136201 | Mary Catherine Meier | Pharmacist | 1714 E Ridgeway Ave, Waterloo, IA 50702-3528 | 2012-01-11 |
| 1922375773 | David Calton | Pharmacist | 2027 Huntington Rd, Box 1528, Waterloo, IA 50701-6001 | 2011-11-22 |
| 1639452899 | Jane Workman Ivey | Pharmacist | 363 Ridgewood Dr, Waterloo, SC 29384-5011 | 2011-09-23 |
| 1033436993 | Amy Joleen Bucknell | Pharmacist | 146 W Dale St Ste 103, Waterloo, IA 50703-1901 | 2010-04-30 |
| Find all providers in WATERLOO | ||||
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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.