Lara Peterson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

00059649 Issued in WA

Practice address

1206 N 40TH Ave
Yakima, WA 98908-9456

Phone

(509) 576-6833

NPI assigned

Dec 20, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fred Meyer Stores Inc

  • Community/Retail Pharmacy
  • Yakima, WA
  • NPI 1184669251
  NPD (past)
• Fred Meyer Stores Inc.

  • Community/Retail Pharmacy
  • Lynnwood, WA
  • NPI 1558235762
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1063758985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ECHO GLENN PL",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989088815",
            "telephone_number": "509-388-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089456",
            "telephone_number": "509-576-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LARA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "00059649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisa L Peterson, LICSW
• Ashley Peterson, CM60876442
• Blake T Peterson, CRNA
• Carl V Peterson, MD
• Erwina Birdie Peterson, M.ED.,CFCS
• Lorrinda D. Peterson, RN
• Yuliya V Peterson
• Jillian Rose Petrowski
• Rebecca Pettigrew
• Karla M Pezzarossi, DPT

• Pharmacist in Yakima, WA
• Providers in Yakima, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.