Individual provider Active NPI

Cindy Michelle Peeters

  • Pharmacist
  • West Valley, UT
National Provider Identifier
1144944992
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6431287-1701 Issued in UT
Practice address
5557 W 4100 S
West Valley, UT 84120-4629
Phone
(801) 621-2610
NPI assigned
Sep 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6431287-1701 UT Primary

Addresses

Primary practice location

5557 W 4100 S
West Valley, UT 84120-4629

Mailing address

4589 S Yarrow Cir
West Valley, UT 84120-5673
Phone (801) 656-9511

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 1

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

State licenses

LicenseStateTypeSpecialty
6431287-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1144944992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4589 S YARROW CIR",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841205673",
            "telephone_number": "801-656-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5557 W 4100 S",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841204629",
            "telephone_number": "801-621-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEETERS",
        "first_name": "CINDY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "6431287-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1",
            "affiliation": "N",
            "address_1": "5557 W 4100 S",
            "city": "West Valley",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841204629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Valley, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.