Peterson Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

PETERSON PHARMACY INC

Practice address

727 Water Ave
Hillsboro, WI 54634-6229

Phone

(608) 489-3141

Fax

(608) 489-2821

NPI assigned

Jan 28, 2022

Last updated

Sep 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Selma Dzelil

Title

VP Rdo

Phone

(815) 715-8502

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Nuzum Peterson, R.PH.

  • Pharmacist
  • Hillsboro, WI
  • NPI 1578614897
  NPD
• Jumana Swenson

  • Pharmacist
  • Hillsboro, WI
  • NPI 1073921227
  NPD (past)

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1437802634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546346229",
            "telephone_number": "608-489-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546346229",
            "telephone_number": "608-489-3141",
            "fax_number": "608-489-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETERSON PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "DZELIL",
        "authorized_official_first_name": "SELMA",
        "authorized_official_title_or_position": "VP RDO",
        "authorized_official_telephone_number": "815-715-8502"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Ann Orr, OTA
• Janelle Marie Osborne, P.T.A.
• Lisa Padberg, RN
• Kelli L Pasch, NP
• Peterson Pharmacy Inc (Peterson Pharmacy)
• Andrew Nuzum Peterson, R.PH.
• Joseph Roger Peterson, M.D.
• Nicholas L Rabe, CRNA
• Thomas K Resan, MD
• Cassidy Anne Sanchez, PT

• Long Term Care Pharmacy in Hillsboro, WI
• Providers in Hillsboro, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.