Judy A Peterson, R.PH., M.S.

Primary specialty

Oncology PharmacistTaxonomy code 1835X0200X

License

16899 Issued in TX

Practice address

2200 Bergquist Dr
Suite 1
Lackland Afb, TX 78236-9908

Phone

(210) 292-7396

Fax

(210) 292-6748

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Judy Louther Peterson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386704476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SEEWALD RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065005",
            "telephone_number": "830-230-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR",
            "address_2": "SUITE 1",
            "city": "LACKLAND AFB",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-7396",
            "fax_number": "210-292-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JUDY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "R.PH., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "TX",
            "license": "16899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "PETERSON",
            "middle_name": "LOUTHER",
            "prefix": "MRS.",
            "credential": "R.PH, M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter Paily, MD
• Cassandra Lynn Parada, LCSW
• Thomas Pennington, DO
• Brian Penton, DDS
• Curtis M Perz
• Hunter H Phillips, MD
• James Matson Piper II, DMD
• Colette Poole-Boykin, M.D
• Casey Pritchett, IDMT
• Nicole Heather Raney, PT, DSC, FAAOMPT

• Oncology Pharmacist in Lackland Afb, TX
• Providers in Lackland Afb, TX by specialty
• Oncology Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.