MR. RICHARD ALLEN PETERSON (NPI# 1992034110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992034110 |
| Entity Type | Individual |
| Full Name | MR. RICHARD ALLEN PETERSON |
| Credential | R.PH. |
| Practice Address |
3918 Breckinridge Dr Okemos MI 48864-3829 |
| Practice Telephone | 5173474840 |
| Mailing Telephone | 5173474840 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302021766 | MI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386949659 | Richard Nicholas Peterson | Physician Assistant | 1705 E Hanna Rd, Eloy, AZ 85131-9612 | 2011-01-18 |
| 1114158706 | Richard Michael Peterson | Chiropractor | 1078 Miramonte Dr, #6, Santa Barbara, CA 93109-1319 | 2009-07-31 |
| 1508981168 | Richard Stephen Peterson | Marriage & Family Therapist | 1000 S Main St Ste 210b, Salinas, CA 93901-2354 | 2007-03-20 |
| 1932201985 | Richard Boyd Peterson | Internal Medicine | 424 Division St, Suite 100, South Charleston, WV 25309-1400 | 2006-09-01 |
| 1659383008 | Richard James Peterson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 623 39th St W, Suite 2, Bradenton, FL 34205-2408 | 2006-08-13 |
| 1639104987 | Richard L Peterson | Chiropractor | 2185 Liberty St Ne, Salem, OR 97301-8353 | 2006-07-12 |
| 1629075205 | Richard Nils Peterson | Family Medicine | 2130 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6405 | 2005-06-28 |
| 1457784340 | Richard O Peterson | Physical Therapist | 4341 Piedmont Ave Ste 201, Oakland, CA 94611-4792 | 2013-08-14 |
| 1285071993 | Richard Franklin Peterson | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-06-04 |
| 1720246036 | Richard Peterson | Physical Therapist | 601 N Briarcliff Dr, Appleton, WI 54915-2959 | 2008-05-23 |
| Street Address |
3918 BRECKINRIDGE DR |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| 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 |
|---|---|---|---|---|
| 1902272008 | Ryan Chute | Pharmacist | 1167 E Clinton Trail, Okemos, MI 48864 | 2015-08-12 |
| 1316355290 | Kranthi L Yanala | Pharmacist | 5180 Madison Ave, Apt #b4, Okemos, MI 48864-5101 | 2014-07-23 |
| 1083825285 | Sashi Bala Kundi | Pharmacist | 1784 Creekview Ter, Okemos, MI 48864-3853 | 2007-05-27 |
| 1215153978 | Eleni Christina Butzin | Pharmacist | 1664 W Grand River Ave, Okemos, MI 48864-1892 | 2007-04-18 |
| 1114038742 | Peter Gilbert Benson | Pharmacist | 1619 W Grand River Ave, Okemos, MI 48864-1801 | 2006-08-31 |
| 1619577269 | Subhash Patel | Pharmacist | 5110 Times Square Pl, Okemos, MI 48864-1161 | 2020-10-31 |
| 1003432105 | Kayla Baguio | Pharmacist | 2131 W Grand River Ave, Okemos, MI 48864-1601 | 2020-06-24 |
| 1881234870 | Zaid Hamoudi | Pharmacist | 1664 W Grand River Ave, Okemos, MI 48864-1892 | 2020-01-08 |
| 1538643564 | Rachael Ann Bach | Pharmacist | 1664 W Grand River Ave, Okemos, MI 48864-1892 | 2018-09-15 |
| 1013458959 | Anna Kazmierski | Pharmacist | 3544 Meridian Crossings, Suite 120, Okemos, MI 48864-6025 | 2017-03-11 |
| Find all providers in OKEMOS | ||||
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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.