Sheryl Ann Petersen, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051037997 Issued in IL

Practice address

805 W Euclid Ave
Palatine, IL 60067-7301

Phone

(847) 303-5642

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1447532783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W EUCLID AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677301",
            "telephone_number": "847-303-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 W EUCLID AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677301",
            "telephone_number": "847-303-5642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Fox River Grove",
            "state": "IL",
            "postal_code": "600211914",
            "country_code": "US",
            "telephone_number": "847-639-0376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "SHERYL",
        "middle_name": "ANN",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051037997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Palatine, IL
• Providers in Palatine, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.