Active NPI
Svetlana Peterson, PHARMD
- Pharmacist
- Cleveland Heights, OH
National Provider Identifier
1568732840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03127366
- Practice address
- 3020 Mayfield Rd
Cleveland Heights, OH 44118-1702 - Phone
- (216) 932-4759
- NPI assigned
- Jan 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03127366 | OH | Primary |
Addresses
Primary practice location
3020 Mayfield Rd
Cleveland Heights, OH 44118-1702
Mailing address
12465 Sperry Rd
Chesterland, OH 44026-2601
Phone (440) 729-2857
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03127366 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1568732840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12465 SPERRY RD",
"city": "CHESTERLAND",
"state": "OH",
"postal_code": "440262601",
"telephone_number": "440-729-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 MAYFIELD RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181702",
"telephone_number": "216-932-4759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "SVETLANA",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-04",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03127366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.