Jacqueline Petersen, PHARMD
Individual provider Active NPI Pharmacist · Jennings, MO
NPI 1588093249 · NPPES record last updated Nov 4, 2013
Key facts
- NPI
- 1588093249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2013038395 (MO)
- Practice address
- 8007 W Florissant Ave
Jennings, MO 63136-1400 - Phone
- (314) 513-0195
- NPI assigned
- Nov 4, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013038395 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2013038395 | MO | Yes |
Addresses
Primary practice location
8007 W Florissant Ave
Jennings, MO 63136-1400
Mailing address
8007 W Florissant Ave
Jennings, MO 63136-1400
Phone (314) 513-0195
Other providers in Jennings, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.