Peter Janson, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

123062 Issued in MN

Practice address

995 Blue Gentian Rd
Eagan, MN 55121-1542

Phone

(612) 439-8070

NPI assigned

Sep 22, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Meijer Inc

  • Community/Retail Pharmacy
  • Macomb, MI
  • NPI 1033833538
  NPD (past)
• Meijer Inc

  • Community/Retail Pharmacy
  • Westland, MI
  • NPI 1578603908
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1881143501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 BLUE GENTIAN RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211542",
            "telephone_number": "612-439-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 BLUE GENTIAN RD",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211542",
            "telephone_number": "612-439-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37201 Warren Rd",
            "address_purpose": "LOCATION",
            "city": "Westland",
            "state": "MI",
            "postal_code": "481852025",
            "country_code": "US",
            "telephone_number": "734-641-0310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSON",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-22",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040895",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MN",
            "license": "123062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahra Abdirahman Jama
• James P Hobday Acsw Licsw
• Maureen Ann James, LPC #00191
• Nancy Ann Jameson, CRNA
• Anastasia Jankord
• Mikhail Jarrett
• Catherine Nicole Jenkins
• Erin Jensen, RN
• Kaitlyn Jensen, MS, ATC, ATR
• Laurie Jepson, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Eagan, MN
• Providers in Eagan, MN by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.