Taylor Lynn Peterson, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

53030101572 Issued in MI

Practice address

322 E Michigan Ave
Paw Paw, MI 49079-1408

Phone

(269) 657-6073

NPI assigned

Mar 14, 2023

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

• Taylor Lynn Fifer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1467153734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15902 45TH ST",
            "city": "BLOOMINGDALE",
            "state": "MI",
            "postal_code": "490269601",
            "telephone_number": "269-350-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E MICHIGAN AVE",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791408",
            "telephone_number": "269-657-6073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TAYLOR",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "53030101572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "FIFER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David B Peirce, MD
• Heidi Lyn Pensinger, MS, AT, ATC
• Ronald L Perry, R.PH
• Felicia Nichole Peterson
• Georgette Peterson
• Gloria Joy Pflederer
• Michael Phillips, RN
• Phoenix Rising Professional Counseling, PC
• Myah Grace Plugis
• Amanda Povlock, CTRS

• Pharmacist in Paw Paw, MI
• Providers in Paw Paw, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.