DAVID M PETERSON (NPI# 1295920544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295920544 |
| Entity Type | Individual |
| Full Name | DAVID M PETERSON |
| Credential | PHARMD |
| Practice Address |
421 Wakara Way Suite 204 Salt Lake City UT 84108-1244 |
| Practice Telephone | 8015855998 |
| Mailing Telephone | 8015855998 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
353870-1701 | UT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215410584 | David Peterson | Dentist | 1619 Brandywine Ln, Dixon, IL 61021-8757 | 2018-09-12 |
| 1386070647 | David Michael Peterson | Pharmacist | 1200 W Gold St, Butte, MT 59701-2110 | 2013-09-18 |
| 1427336601 | David James Peterson | Physical Therapist | 59 Akea Pl, Kula, HI 96790-8501 | 2011-07-22 |
| 1386858942 | David Brian Peterson | Psychologist | 460 Oak St, Apt 115, Glendale, CA 91204-1265 | 2007-05-10 |
| 1851412241 | David Peterson | Chiropractor | 17331 Penn Valley Dr, Penn Valley, CA 95946-9340 | 2007-04-03 |
| 1487716783 | David Norman Peterson | Dentist | 22 2nd Ave S, Sauk Rapids, MN 56379-1408 | 2006-12-14 |
| 1033279484 | David Eugene Peterson | Dentist | 17267 W 3rd St, Sddc, Redfield, SD 57469-1001 | 2006-12-08 |
| 1801968359 | David Scott Peterson | Psychiatry & Neurology | 1345 East 3900 South Ste 208, Salt Lake City, UT 84124-4416 | 2006-11-13 |
| 1104905272 | David Hedden Peterson | Social Worker | 222 9th Ave W, Alexandria, MN 56308-2221 | 2006-11-02 |
| 1932284031 | David Donald Peterson | Counselor | 318 E Main St # 106, Battle Ground, WA 98604-8508 | 2006-10-26 |
| Street Address |
421 WAKARA WAY SUITE 204 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84108-1244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578553715 | Marianne Paul | Pharmacist | 421 Wakara Way, Suite 208, Salt Lake City, UT 84108-1244 | 2005-10-27 |
| 1669746715 | Carin S Steinvoort | Pharmacist | 421 Wakara Way, Suite 208, Salt Lake City, UT 84108-1244 | 2012-03-06 |
| 1972734911 | Joanne Lafleur | Pharmacist | 421 Wakara Way, #208, Salt Lake City, UT 84108-1244 | 2009-08-06 |
| 1205015948 | Thomas Sanders | Pharmacist | 421 Wakara Way, Suite 204, Salt Lake City, UT 84108-1244 | 2007-10-30 |
| 1649460171 | Virginia Jones | Pharmacist | 421 Wakara Way, Suite 204, Salt Lake City, UT 84108-1244 | 2007-07-31 |
| 1861523797 | Erin R Fox | Pharmacist | 421 Wakara Way, Suite 204, Salt Lake City, UT 84108-1244 | 2007-03-09 |
| 1558400184 | An N Vu | Pharmacist | 421 Wakara Way, Suite 204, Salt Lake City, UT 84108-1244 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548753056 | Maxine Ht Erickson | Assistant Behavior Analyst | 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 | 2018-06-08 |
| 1841704061 | Robyn Carver | Occupational Therapist | 421 Wakara Wat, Salt Lake City, UT 84108 | 2017-11-27 |
| 1518478742 | Lcr Dental Sugar House | Dentist | 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 | 2017-10-16 |
| 1447708912 | Aubrianne Squire Evans | Occupational Therapist | 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 | 2016-09-14 |
| 1629524426 | Ryan Weisenbeck | Specialist/Technologist | 580 S Guardsman Way, Salt Lake City, UT 84108 | 2016-08-31 |
| 1164885547 | Michael Fazzone | Student in an Organized Health Care Education/Training Program | 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 | 2016-04-01 |
| 1669833489 | Bryon Claflin | Registered Nurse | 650 S Komas Ste 200, Salt Lake City, UT 84108 | 2016-03-08 |
| 1801283833 | Autism Assement Treatment Program Adult | Psychologist | 650 S Komas, Suite 200, Salt Lake City, UT 84108 | 2015-04-16 |
| 1578993275 | Matthew and David Dental Pllc | Dentist | 1355 Foothill Drive, Salt Lake City, UT 84108 | 2013-11-15 |
| 1841631520 | Deepika Garg | Internal Medicine | 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 | 2013-07-10 |
| Find all providers in zip 84108 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447424916 | Jonathan Douglas Hoffman | Pharmacist | George E Wahlen Department of Veterans Ctr, 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2008-04-16 |
| 1124207493 | Kim Dang | Pharmacist | 50 N Medical Dr Rm A050, Salt Lake City, UT 84132-0001 | 2007-11-02 |
| 1376766279 | Brian Barker | Pharmacist | 50 North Medical Drive (a050), University of Utah Hospital Dept of Pharmacy, Salt Lake City, UT 84123 | 2007-04-10 |
| 1093841272 | Elise Swenson | Pharmacist | 220 S 700 E, Salt Lake City, UT 84102-2106 | 2007-02-24 |
| 1699705558 | Bonnie Kathleen Portley | Pharmacist | Pharmacy Services #119, 500 Foothill Blvd., Salt Lake City, UT 84148-0001 | 2006-07-04 |
| 1801872569 | Jody S. Neuman | Pharmacist | 4543 Zarahemla Dr, Salt Lake City, UT 84124-4039 | 2005-12-15 |
| 1275514994 | Kenneth Conrad Jackson II | Pharmacist | 546 Chipeta Way, Suite 220, Salt Lake City, UT 84108-1236 | 2005-11-09 |
| 1366433559 | Kelly A Kelsey | Pharmacist | 257 E 200 S, Suite 600, Salt Lake City, UT 84111-2048 | 2005-11-04 |
| 1801887757 | Vicky Y. Digregorio | Pharmacist | 555 Foothill Dr, Madsen Health Center, Internal Medicine, Salt Lake City, UT 84112-1106 | 2005-10-31 |
| 1124014626 | Elizabeth Wolcott Young | Pharmacist | 30 S 2000 E, Rm 201, Salt Lake City, UT 84112-5820 | 2005-09-21 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84108 |
Please comment or provide details below to improve the information on DAVID M PETERSON.
| 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.