Organization Active NPI

Richard Leighton Peatman

Doing business as Meadow Vista Pharmacy

  • Community/Retail Pharmacy
  • Meadow Vista, CA
National Provider Identifier
1841394897
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY42061 Issued in CA
Legal business name
RICHARD LEIGHTON PEATMAN
Doing business as
Meadow Vista Pharmacy
Practice address
16893 Placer Hills Rd
Meadow Vista, CA 95722-9531
Phone
(530) 878-7440
NPI assigned
Sep 12, 2006
Last updated
Nov 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Richard Leighton Peatman, PHARM.D.
Title
Owner
Phone
(530) 878-7440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY42061 CA Primary

Addresses

Primary practice location

16893 Placer Hills Rd
Meadow Vista, CA 95722-9531

Mailing address

16893 Placer Hills Rd
Meadow Vista, CA 95722-9531

Other identifiers 2

IdentifierTypeStateIssuer
PHA420610MedicaidCA
1998848OtherPK

Other names 1

  • MEADOW VISTA PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

16893 Placer Hills Rd
Meadow Vista, CA 95722
Phone (530) 878-7440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1841394897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16893 PLACER HILLS RD",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957229531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16893 PLACER HILLS RD",
            "city": "MEADOW VISTA",
            "state": "CA",
            "postal_code": "957229531",
            "telephone_number": "530-878-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD LEIGHTON PEATMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "LEIGHTON PEATMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-878-7440",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY42061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA420610",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1998848",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEADOW VISTA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadow Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.