Kameron Peterson, PHARMD, BCACP

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

15903-40 Issued in WI

Practice address

640 E Main St
Sun Prairie, WI 53590-9696

Phone

(608) 837-3821

NPI assigned

Mar 30, 2014

Last updated

Jun 9, 2026By the provider in NPPES

Sex

Male

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

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roundys Supermarkets Inc

  dba Pick 'N Save Pharmacy #53400379

  • Community/Retail Pharmacy
  • Marshfield, WI
  • NPI 1013484997
  NPD (past)
• Roundys Supermarkets Inc

  dba Metro Market Pharmacy #8102

  • Community/Retail Pharmacy
  • Sun Prairie, WI
  • NPI 1245459304
  NPD (past)
• Roundys Supermarkets Inc

  dba Pick N Save Pharmacy

  • Community/Retail Pharmacy
  • Sun Prairie, WI
  • NPI 1790916781
  NPD (past)

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

{
    "created_epoch": "1396137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1245658095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909696",
            "telephone_number": "608-837-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E MAIN ST",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535909696",
            "telephone_number": "608-837-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KAMERON",
        "credential": "PHARMD, BCACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-30",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WI",
            "license": "15903-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peak Proformance Chiropractic and Rehabilitation (Peak Proformance Physiotherapy)
• Jill Diane Pelton Streekstra, R.N.
• Benjamin Percy, DPT
• Performance Rehab and Chiropractic, Inc.
• Christopher D Peters, MSW LCSW
• Stephanie Mt Peterson, RN
• Tina D Peterson
• Laura B Pethan, APNP
• Robert T. Peyton, PH.D.
• Amy Rose Phillips, 200 RYT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.