JAMES PETERSEN (NPI# 1205136157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205136157 |
| Entity Type | Individual |
| Full Name | JAMES PETERSEN |
| Credential | PHARMD |
| Practice Address |
9101 E Baseline Rd Mesa AZ 85209-7758 |
| Mailing Address |
9101 E Baseline Rd. Mesa AZ 85208-6752 |
| Practice Telephone | 4802810180 |
| Practice Fax Number | 4802810165 |
| Mailing Telephone | 4802810180 |
| Mailing Fax Number | 4802810165 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-11-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 16314 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134439755 | James Tyler Petersen | Chiropractor | 657 W 200 N, Cedar City, UT 84720-2408 | 2010-10-15 |
| 1467672774 | James Lee Petersen | Physician Assistant | 1025 Pennock Pl Ste 1421, Fort Collins, CO 80524 | 2007-04-27 |
| 1306844030 | James G Petersen | Dentist | 607 Ne 3rd St, Prineville, OR 97754-2021 | 2005-07-07 |
| 1467087494 | James Martin Petersen | Social Worker | 137 Holton Whitehall Rd, Whitehall, MI 49461-9543 | 2020-03-10 |
| 1861040735 | James Petersen | Social Worker | 3141 Centennial Blvd, Colorado Springs, CO 80907-4094 | 2019-09-03 |
| 1275022964 | James Mathew Petersen | Physician Assistant | 3730 Plaza Way Ste C6100, Kennewick, WA 99338-2718 | 2018-05-08 |
| 1891140224 | James Petersen | Pharmacist | 2525 Chicago Ave, Inpatient Pharmacy, Minneapolis, MN 55404-4518 | 2016-05-04 |
| 1992145098 | James Robert Petersen | Emergency Medicine | 1407 N Whisenant Dr, Duncan, OK 73533 | 2013-07-03 |
| 1922219641 | James Robert Petersen | Pharmacist | 4000 University Ave, Waterloo, IA 50701-5640 | 2007-05-24 |
| 1114142072 | James T Petersen | Dentist | 1421 Nw 85th St, Suite B, Seattle, WA 98117 | 2007-04-16 |
| Street Address |
9101 E BASELINE RD |
| City | MESA |
| State | AZ |
| Zip Code | 85209-7758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962431932 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 9101 E Baseline Rd, Mesa, AZ 85209-7758 | 2006-07-02 |
| 1386790236 | Evelyn Loong | Pharmacist | 9101 E Baseline Rd, Mesa, AZ 85209-7758 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013539568 | Wingfoot Wellness & Hormones LLC | Nurse Practitioner | 2500 S Power Road, Building 7 Suite 218, Mesa, AZ 85209 | 2020-05-07 |
| 1558916247 | Shiny Susan Thomas | Family Medicine | 7615,east Baseline Road, Mesa, AZ 85209 | 2019-08-08 |
| 1245798933 | Premier Care Medical Services Pllc | Clinic/Center | 7363 E Naranja Ave, Mesa, AZ 85209 | 2019-03-12 |
| 1518450568 | Mhb Services | Internal Medicine | 1301 S Crismon Road, Mesa, AZ 85209 | 2018-06-13 |
| 1174012934 | Andrew Swenson | Student in an Organized Health Care Education/Training Program | 10238 E. Hampton #406, Mesa, AZ 85209 | 2018-05-08 |
| 1689196057 | Monica R Meyer | Registered Nurse | 2424 S Rowen, Mesa, AZ 85209 | 2017-07-07 |
| 1629507041 | Rachel Ann Navarro | Occupational Therapist | 10431 E Natal Ave, Mesa, AZ 85209 | 2017-06-08 |
| 1073041331 | Michelle Resendez | Nurse Practitioner | 2500 S Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-31 |
| 1275069569 | Michelle Amado | Nurse Practitioner | 2500 S. Power Rd, Bldg 7, Ste 218, Mesa, AZ 85209 | 2017-05-04 |
| 1982138079 | Warren Brent Thomas | Nurse Anesthetist, Certified Registered | 10632 E Kiva Ave, Mesa, AZ 85209 | 2017-04-14 |
| Find all providers in zip 85209 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992838 | Leila Cameron | Pharmacist | 1742 W Belfast St, Mesa, AZ 85201-6138 | 2020-11-05 |
| 1598247652 | Tyler Barton | Pharmacist | 240 W Baseline Rd # 3799, Mesa, AZ 85210-6107 | 2018-09-05 |
| 1720565393 | Andrew T Rayer | Pharmacist | 525 W Brown Rd Fl 7, Mesa, AZ 85201-3202 | 2018-07-25 |
| 1396264289 | Mercedes Maltbie | Pharmacist | 1915 South Power Road, Mesa, AZ 85206 | 2017-09-12 |
| 1558887430 | Lugina Bianca Mendez-harper | Pharmacist | 10707 E Deawalter Ave, Mesa, AZ 85212-8068 | 2017-08-22 |
| 1548645823 | Michelle Nguyen | Pharmacist | 3718 E Huber St, Mesa, AZ 85205-3901 | 2015-07-28 |
| 1366842239 | Hillary Lynn Coahran | Pharmacist | 2809 S. Sossaman Rd., Mesa, AZ 85212 | 2014-08-28 |
| 1386044493 | Liane Fossen | Pharmacist | 7026 E Roland St, Mesa, AZ 85207-1280 | 2014-08-26 |
| 1366859498 | Devan Hansen | Pharmacist | 1130 W Southern Ave, Mesa, AZ 85210-4993 | 2014-07-21 |
| 1386058154 | Robert G Hayes | Pharmacist | 5001 E Main St Lot 880, Mesa, AZ 85205-1320 | 2014-06-19 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.