Active NPI
James Edward Peters, RPH
- Pharmacist
- Milwaukie, OR
National Provider Identifier
1104186436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0006737
- Practice address
- 16246 SE McLoughlin Blvd
Milwaukie, OR 97267-4657 - Phone
- (503) 657-9422
- Fax
- (503) 656-0278
- NPI assigned
- May 21, 2012
- Sex
- Male
- Sole proprietor
- No
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 | RPH-0006737 | OR | Primary |
Addresses
Primary practice location
16246 SE McLoughlin Blvd
Milwaukie, OR 97267-4657
Mailing address
23145 SW Wunderli Rd
Sherwood, OR 97140
Phone (503) 657-9422
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 |
|---|---|---|---|
| RPH-0006737 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1104186436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23145 SW WUNDERLI RD",
"city": "SHERWOOD",
"state": "OR",
"postal_code": "97140",
"telephone_number": "503-657-9422",
"fax_number": "503-656-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16246 SE MCLOUGHLIN BLVD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972674657",
"telephone_number": "503-657-9422",
"fax_number": "503-656-0278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JAMES",
"middle_name": "EDWARD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0006737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukie, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.