Peter George Pfeiffer

Primary specialty

PharmacistTaxonomy code 183500000X

License

0111265 Issued in MN

Practice address

1200 Shingle Creek Xing
Brooklyn Center, MN 55430-2835

Phone

(763) 354-1948

NPI assigned

Oct 23, 2020

Sex

Male

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

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1558960203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 AQUILA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271844",
            "telephone_number": "612-408-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SHINGLE CREEK XING",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302835",
            "telephone_number": "763-354-1948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Shingle Creek Xing",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302835",
            "country_code": "US",
            "telephone_number": "763-354-1948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Shingle Creek Xing",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302835",
            "country_code": "US",
            "telephone_number": "763-354-1948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Shingle Creek Xing",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Center",
            "state": "MN",
            "postal_code": "554302835",
            "country_code": "US",
            "telephone_number": "763-354-1948",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Aquila Ave N",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "MN",
            "postal_code": "554271844",
            "country_code": "US",
            "telephone_number": "612-408-9285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Aquila Ave N",
            "address_purpose": "LOCATION",
            "city": "New Hope",
            "state": "MN",
            "postal_code": "554271844",
            "country_code": "US",
            "telephone_number": "612-408-9285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFEIFFER",
        "first_name": "PETER",
        "middle_name": "GEORGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "0111265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.