Active NPI
Peter Holter, R.PH.
- Pharmacist
- Cottonwood, AZ
National Provider Identifier
1447525985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 52096
- Practice address
- 1100 S State Route 260
Cottonwood, AZ 86326-4640 - Phone
- (928) 634-9338
- NPI assigned
- Mar 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S012073 | AZ | |
| Pharmacist | 183500000X | 52096 | CA | Primary |
Addresses
Primary practice location
1100 S State Route 260
Cottonwood, AZ 86326-4640
Mailing address
3311 S Gillenwater Dr
Flagstaff, AZ 86005-8983
Phone (951) 526-7659
Other practice location 1
26610 Ynez Rd
Temecula, CA 92591-4697
Phone (951) 719-2002
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S012073 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588118400000",
"number": "1447525985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3311 S GILLENWATER DR",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860058983",
"telephone_number": "951-526-7659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S STATE ROUTE 260",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264640",
"telephone_number": "928-634-9338"
}
],
"practiceLocations": [
{
"address_1": "26610 Ynez Rd",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925914697",
"country_code": "US",
"telephone_number": "951-719-2002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLTER",
"first_name": "PETER",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-16",
"last_updated": "2020-04-29",
"certification_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S012073",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "52096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.