Individual provider Active NPI

Vernon Elliott Peterson, RPH.

  • Pharmacy
  • Mountain Lake, MN
National Provider Identifier
1619958279
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
267371 Issued in MN
Practice address
1007 3Rd Ave
Mountain Lake, MN 56159-1587
Phone
(507) 427-2707
Fax
(507) 427-2328
NPI assigned
Nov 10, 2005
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 267371 MN Primary
Pharmacist 183500000X 111199 MN

Addresses

Primary practice location

1007 3Rd Ave
Mountain Lake, MN 56159-1587

Mailing address

1007 3Rd Ave
PO Box 310
Mountain Lake, MN 56159-0310
Phone (507) 427-2707

Other identifiers 2

IdentifierTypeStateIssuer
119330OtherMNPHARMACIST LICENSE
267371OtherMNPHARMACY LICENSE

Other names 1

  • Erica Erin Schroeder Other name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
111199MNMDPharmacist
267371MNMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
H&S Sisters LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1619958279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 3RD AVE",
            "address_2": "PO BOX 310",
            "city": "MOUNTAIN LAKE",
            "state": "MN",
            "postal_code": "561590310",
            "telephone_number": "507-427-2707",
            "fax_number": "507-427-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 3RD AVE",
            "city": "MOUNTAIN LAKE",
            "state": "MN",
            "postal_code": "561591587",
            "telephone_number": "507-427-2707",
            "fax_number": "507-427-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "VERNON",
        "middle_name": "ELLIOTT",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MN",
            "license": "267371",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "111199",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "119330",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "267371",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SCHROEDER",
            "middle_name": "ERIN",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.