Paul E Petersen, PHARM.D.,BCPS

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

11766 Issued in TN

Practice address

425 5TH Ave N
1St Floor CHB
Nashville, TN 37243-0001

Phone

(615) 741-8529

Fax

(615) 741-3857

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568688182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 HUDSON RD",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155702",
            "telephone_number": "615-612-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 5TH AVE N",
            "address_2": "1ST FLOOR CHB",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372430001",
            "telephone_number": "615-741-8529",
            "fax_number": "615-741-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.,BCPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TN",
            "license": "11766",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "53191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarika U. Peters, PHD
• Shandi Peters, LPC/MHSP
• Sheila Peters, PHD
• Mikayla Patricia Petersen, PT, DPT
• Morgan Petersen, RN
• Amalia Jo Peterson
• Cassidy Peterson, CCC-SLP
• Christine Peterson, NP
• Cynthia Peterson, APRN
• Drew Anthony Peterson, LBSW

• Pharmacotherapy Pharmacist in Nashville, TN
• Providers in Nashville, TN by specialty
• Pharmacotherapy Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.