Active NPI
Heather Peterson, PHARMD
- Pharmacist
- Toppenish, WA
National Provider Identifier
1093874216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10837
- Practice address
- 401 Buster Rd
Toppenish, WA 98948-9792 - Phone
- (509) 865-1703
- Fax
- (509) 865-8753
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- 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 | 10837 | OR | Primary |
Addresses
Primary practice location
401 Buster Rd
Toppenish, WA 98948-9792
Mailing address
731 E Parker Heights Rd
Wapato, WA 98951-9650
Phone (509) 877-6657
Other names 1
- Heather Pyke
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10837 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093874216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E PARKER HEIGHTS RD",
"city": "WAPATO",
"state": "WA",
"postal_code": "989519650",
"telephone_number": "509-877-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 BUSTER RD",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989489792",
"telephone_number": "509-865-1703",
"fax_number": "509-865-8753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "HEATHER",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "10837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "PYKE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Toppenish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.