Active NPI
Emmerentia Esther Lucille Peterson, PHARM.D.
- Pharmacist
- Bakersfield, CA
National Provider Identifier
1942673702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73736
- Practice address
- 5075 Gosford Rd
Bakersfield, CA 93313-4993 - Phone
- (661) 282-2144
- Fax
- (661) 282-2144
- NPI assigned
- Nov 2, 2015
- Last updated
- Nov 2, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 73736 | CA | Primary |
Addresses
Primary practice location
5075 Gosford Rd
Bakersfield, CA 93313-4993
Mailing address
7501 Scarlet River Dr Apt 11a
Bakersfield, CA 93308-7547
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73736 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446422400000",
"number": "1942673702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 SCARLET RIVER DR APT 11A",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933087547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5075 GOSFORD RD",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933134993",
"telephone_number": "661-282-2144",
"fax_number": "661-282-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "EMMERENTIA",
"middle_name": "ESTHER LUCILLE",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2015-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.