Athena Peterson

Primary specialty

PharmacistTaxonomy code 183500000X

License

0013072 Issued in CT

Practice address

474 Chamberlain Hwy
Meriden, CT 06451-1818

Phone

(203) 217-1562

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1194196170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 HARRISON LN",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067512102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 CHAMBERLAIN HWY",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064511818",
            "telephone_number": "203-217-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ATHENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0013072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Perillo, DO
• Sandra Perkins, L.O.
• Nicholas V Perricone, MD
• Alokh Persha, DMD
• Blake Peters
• Brad Petitti, PA
• Federica Pettirossi
• Michelle Pheng
• Margaret Phillips, PT
• Max Pianka, APRN

• Pharmacist in Meriden, CT
• Providers in Meriden, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.