Quendall Peterson, RPH

Primary specialty

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

License

RPH033932 Issued in GA

Practice address

3030 Headland Dr SW
Atlanta, GA 30311-5439

Phone

(404) 344-5383

Fax

(404) 344-5549

NPI assigned

Sep 5, 2022

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

Registered Pharmacist

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.

• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)
• The Kroger Co

  • Community/Retail Pharmacy
  • Union City, GA
  • NPI 1386678266
  NPD (past)

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1922729441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 HEADLAND DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303115439",
            "telephone_number": "678-689-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 HEADLAND DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303115439",
            "telephone_number": "404-344-5383",
            "fax_number": "404-344-5549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 Jonesboro Rd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "GA",
            "postal_code": "302912050",
            "country_code": "US",
            "telephone_number": "770-969-0267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "QUENDALL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH033932",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Peterson, LAT, ATC
• Kristofor Mikael Peterson, DC
• Leigh Ann Peterson, LPC, CEAP, SAP
• Mary Peterson, CRNA
• Michael Peterson, AA
• Ryan Brent Peterson, M.D.
• Sara Alice Peterson, LPC
• Stephanie Peterson, PA-C
• Susan C. Peterson, PA-AA
• Christine Petit-Frere

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.