Active NPI
Stephanie Anne Peterson, PHARMD
- Pharmacist
- Hibbing, MN
National Provider Identifier
1306332945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 123799
- Practice address
- 750 E 34TH St
Hibbing, MN 55746-2341 - Phone
- (218) 362-6611
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- 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 | 123799 | MN | Primary |
Addresses
Primary practice location
750 E 34TH St
Hibbing, MN 55746-2341
Mailing address
750 E 34TH St
Hibbing, MN 55746-2341
Other names 1
- Stephanie Anne Keller
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 |
|---|---|---|---|
| 123799 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coborns Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Long Term Care Pharmacy
- Little Falls, MN
- NPI 1417480633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1306332945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E 34TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E 34TH ST",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462341",
"telephone_number": "218-362-6611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "123799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "KELLER",
"middle_name": "ANNE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.