Tyler Chojin Peterson, PHARMD
Individual provider Active NPI Pharmacist · Garapan, MP
NPI 1386219632 · NPPES record last updated May 20, 2021
Key facts
- NPI
- 1386219632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0109 (MP)
- Practice address
- Hospital Dr
Garapan, MP 96950 - Phone
- (670) 234-8950
- NPI assigned
- May 20, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0109 | MP | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0109 | MP | Yes |
Addresses
Primary practice location
Hospital Dr
Garapan, MP 96950
Mailing address
PO Box 500409
Saipan, MP 96950-0409
Other providers in Garapan, MP
All providers in Garapan, MP · Pharmacist in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.