Active NPI
Michael Peters, PHARM.D.
- Pharmacist
- Johnston, IA
National Provider Identifier
1134477136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21739
- Practice address
- 6200 Merle Hay Rd
Johnston, IA 50131-1225 - Phone
- (515) 331-0497
- NPI assigned
- Aug 22, 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 | 21739 | IA | Primary |
Addresses
Primary practice location
6200 Merle Hay Rd
Johnston, IA 50131-1225
Mailing address
900 65TH St Apt 54
Windsor Heights, IA 50324-1063
Phone (507) 236-1913
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 |
|---|---|---|---|
| 21739 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Johnston, IA
- NPI 1326053646
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345593600000",
"number": "1134477136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 65TH ST APT 54",
"city": "WINDSOR HEIGHTS",
"state": "IA",
"postal_code": "503241063",
"telephone_number": "507-236-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 MERLE HAY RD",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311225",
"telephone_number": "515-331-0497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "MICHAEL",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-22",
"last_updated": "2012-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.