Active NPI
Robert Douglas Peete, DOCTOR OF PHARMACY
- Pharmacist
- Gardena, CA
National Provider Identifier
1891080461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32926
- Practice address
- 2169 W Redondo Beach Blvd
Gardena, CA 90247-3625 - Phone
- (310) 515-3783
- Fax
- (310) 515-3783
- NPI assigned
- Jun 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32926 | CA | Primary |
Addresses
Primary practice location
2169 W Redondo Beach Blvd
Gardena, CA 90247-3625
Mailing address
2169 W Redondo Beach Blvd
Gardena, CA 90247-3625
Phone (310) 515-3783
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA476060 | Other | CA | BOARD OF PHARMACY LICENSE |
Other names 1
- Dr. Robert Douglas Peete
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32926 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307836800000",
"number": "1891080461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2169 W REDONDO BEACH BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473625",
"telephone_number": "310-515-3783",
"fax_number": "310-515-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2169 W REDONDO BEACH BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473625",
"telephone_number": "310-515-3783",
"fax_number": "310-515-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEETE",
"first_name": "ROBERT",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PHARMACY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-12",
"last_updated": "2011-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "32926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY LICENSE",
"identifier": "PHA476060",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "PEETE",
"middle_name": "DOUGLAS",
"prefix": "DR.",
"credential": "32926",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.