Peter M Kearney, RPH.
Individual provider Active NPI Pharmacist · Orem, UT
NPI 1629757331 · NPPES record last updated Jul 12, 2023
Key facts
- NPI
- 1629757331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 270367-1701 (UT)
- Practice address
- 850 S State St
Orem, UT 84097-7026 - Phone
- (801) 616-5237
- NPI assigned
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270367-1701 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kearney Company | Current | Accepting new patients | |
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
850 S State St
Orem, UT 84097
Phone (801) 616-5237
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 270367-1701 | UT | Yes |
Addresses
Primary practice location
850 S State St
Orem, UT 84097-7026
Mailing address
850 S State St
Orem, UT 84097-7026
Phone (801) 616-5237
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2023. 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.