DR. MIKAEL BRIAN PETERSON (NPI# 1932493988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932493988 |
| Entity Type | Individual |
| Full Name | DR. MIKAEL BRIAN PETERSON |
| Credential | PHARMD. |
| Practice Address |
1225 W Irvington Rd Tucson AZ 85714-1167 |
| Practice Telephone | 5202953608 |
| Mailing Telephone | 5202953608 |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S016140 | AZ | Pharmacy Service Providers |
| Street Address |
1225 W IRVINGTON RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85714-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548282320 | German Dobson Cvs LLC | Durable Medical Equipment & Medical Supplies | 1225 W Irvington Rd, Tucson, AZ 85714-1167 | 2006-07-24 |
| 1447707476 | Ahmad Ahmad | Pharmacist | 1225 W Irvington Rd, Tucson, AZ 85714-1167 | 2016-09-07 |
| 1083005912 | Beena Vemulapalli | Pharmacist | 1225 W Irvington Rd, Tucson, AZ 85714-1167 | 2015-02-13 |
| 1841692332 | Lisa Hartwig | Pharmacist | 1225 W Irvington Rd, Tucson, AZ 85714-1167 | 2014-09-16 |
| 1013327972 | Phu Minh Huynh Lam | Optometrist | 1225 W Irvington Rd, Target Optical, Tucson, AZ 85714-1167 | 2014-04-30 |
| 1619180031 | Kerry Ronald Karn | Pharmacist | 1225 W Irvington Rd, Tucson, AZ 85714-1167 | 2007-05-08 |
| 1588715825 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1225 W Irvington Rd, Tucson, AZ 85714-1167 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093270035 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 101 W Irvington Rd Bldg # 10, Tucson, AZ 85714 | 2019-02-04 |
| 1558868422 | Southern Arizona Urgent Care, LLC | Clinic/Center | 1218 W. Irvington Rd., Ste. 150, Tucson, AZ 85714 | 2018-04-09 |
| 1629525415 | Kayla Iwahashi | Physician Assistant | 2900 E Milber St, Tucson, AZ 85714 | 2016-09-08 |
| 1356790158 | Banner Umc Dpec | Nutritionist | 3950 S Country Club Road, Suite 130, Tucson, AZ 85714 | 2016-06-13 |
| 1811305634 | Johannes Kieding | Social Worker | 3939 S Park Ave Ste 150, Tucson, AZ 85714 | 2014-07-24 |
| 1982962221 | Orthomed, LLC | Clinic/Center | 1010 E. Palmdale St, Suite 130, Tucson, AZ 85714 | 2012-04-24 |
| 1588952089 | Crisis Response Network of Southern Arizona, Inc. | Community/Behavioral Health | 2802 East District Street, Tucson, AZ 85714 | 2011-07-18 |
| 1780904805 | Ana E Araiza Rojas | Dietitian, Registered | 3939 S. Park Ave, Suite 150 Cmg Southwest, Tucson, AZ 85714 | 2010-06-11 |
| 1710117668 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1210 E Pennsylvania St, Tucson, AZ 85714 | 2009-07-24 |
| 1639319049 | Ronnie C William | Internal Medicine | 3950 South Country Club Road, Ste 200, Tucson, AZ 85714 | 2009-02-25 |
| Find all providers in zip 85714 | ||||
| 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 |
|---|---|---|---|---|
| 1851999536 | Holly Peterson | Pharmacist | 1020 W Los Altos Rd, Tucson, AZ 85704-4134 | 2020-10-14 |
| 1538775903 | Jasim Mohammad El-ali | Pharmacist | 652 W Camino Del Oro, Tucson, AZ 85704-4720 | 2020-09-21 |
| 1184241242 | Karley Tranchina | Pharmacist | 3220 W Ina Rd Apt 18106, Tucson, AZ 85741-2172 | 2020-07-06 |
| 1386268522 | Melinda Aragon | Pharmacist | 6030 N Desert Sun Ct, Tucson, AZ 85750-0925 | 2020-06-03 |
| 1265070650 | Megan Kristine Spragg | Pharmacist | 2101 N Jacana Loop, Tucson, AZ 85745-3571 | 2019-12-16 |
| 1487206603 | Briana Choi | Pharmacist | 5755 E River Rd Apt 1710, Tucson, AZ 85750-6712 | 2019-07-09 |
| 1073096749 | Tina Marie Evans | Pharmacist | 6250 E Grant Road, Ste #388, Tucson, AZ 85747 | 2018-09-10 |
| 1417437575 | Steven Daniel Menachof | Pharmacist | 3601 S 6th Ave Bldg 57, Tucson, AZ 85723-0001 | 2018-08-17 |
| 1255828273 | Kimberly Grace Stone | Pharmacist | 6906 E Lightning Dr Unit A, Tucson, AZ 85708-1385 | 2018-04-16 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| Find all providers in TUCSON | ||||
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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.