Deborah Ann Peterson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5809580-1701 Issued in UT

Practice address

1080 W Highway 40
Vernal, UT 84078-2333

Phone

(435) 789-7235

Fax

(435) 789-6140

NPI assigned

Sep 30, 2019

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

• Deborah Ann Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Vernal, UT
  • NPI 1962427591
  NPD
• Smith'S Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1609417849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782333",
            "telephone_number": "435-789-7235",
            "fax_number": "435-789-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W HIGHWAY 40",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782333",
            "telephone_number": "435-789-7235",
            "fax_number": "435-789-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "5809580-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "JOHNSON",
            "middle_name": "ANN",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shaundra K Patrick, MA
• Rachel Penny, OTR/L
• Gayla Schmidt Perkins, ACMHC
• David M Perry, MD
• Jessie L Perry, LMT, BS
• Michael Peterson, MOT, OTRL
• Rachel Esther Peterson
• Pettit Pediatrics LLC
• Ethan Pettit, D.O.
• Cassandra Pickett

• Pharmacist in Vernal, UT
• Providers in Vernal, UT by specialty
• Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.