Active NPI
Peter Michael Tenerelli, RPH
- Pharmacist
- Rancho Cordova, CA
National Provider Identifier
1083070841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00011409
- Practice address
- 2115 Golden Centre LN
Rancho Cordova, CA 95670-4477 - Phone
- (206) 331-2710
- NPI assigned
- Jan 10, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00011409 | WA | Primary |
Addresses
Primary practice location
2115 Golden Centre LN
Rancho Cordova, CA 95670-4477
Mailing address
117 Feather Falls Cir
Folsom, CA 95630-7163
Phone (916) 990-9196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00011409 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452384000000",
"number": "1083070841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 FEATHER FALLS CIR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956307163",
"telephone_number": "916-990-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 GOLDEN CENTRE LN",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956704477",
"telephone_number": "206-331-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENERELLI",
"first_name": "PETER",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-10",
"last_updated": "2016-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00011409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.