Roderick Gradie Peters, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

13790 Issued in MD

Practice address

900 S Caton Ave
Baltimore, MD 21229-5201

Phone

(667) 234-2550

Fax

(667) 234-7917

NPI assigned

Jun 6, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Quality of Life Phcy and Health Inc

  • Compounding Pharmacy
  • Capitol Heights, MD
  • NPI 1295746832
  NPD (past)

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1124254909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "667-234-2550",
            "fax_number": "667-234-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "667-234-2550",
            "fax_number": "667-234-7917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8900 Edgeworth Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Capitol Heights",
            "state": "MD",
            "postal_code": "207433744",
            "country_code": "US",
            "telephone_number": "301-386-0857",
            "fax_number": "301-386-0813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RODERICK",
        "middle_name": "GRADIE",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-06",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2132912",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Leigh Peters, MD
• Johnee Peters
• Lisa Arnelle Peters, A.U.D.
• Richard B Peters, MD
• Robert William Peters, M.D.
• Sadie Anthea Peters, MD
• Sophia Katherine Peters, M.S. CF-SLP
• Steven G Peters
• Todd Peters, MD
• Carl Evers Petersen, D.O.

• Pharmacist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.