DR. JASON PETERS (NPI# 1447718192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447718192 |
| Entity Type | Individual |
| Full Name | DR. JASON PETERS |
| Credential | PHARM.D. |
| Practice Address |
1645 E Roosevelt St Phoenix AZ 85006-3638 |
| Practice Telephone | 6024020944 |
| Mailing Telephone | 6024020944 |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
S018077 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609200476 | Jason Ray Peters | Counselor | 1506 W Hovey St, Springfield, MO 65802-1511 | 2013-08-28 |
| 1083638779 | Jason E Peters | Family Medicine | 2106 Hale Avenue, Harlingen, TX 78550-8408 | 2006-07-26 |
| 1780998732 | Jason Scott Peters | Counselor | 127 Church St Ne, Suite 350, Marietta, GA 30060-8637 | 2010-08-02 |
| 1952312332 | Jason Peters | Physician Assistant | 1240 S Cedar Crest Blvd, Allentown, PA 18103-6369 | 2006-08-10 |
| 1477524692 | Jason Peters | Physician Assistant | 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-01-27 |
| Street Address |
1645 E ROOSEVELT ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-3638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133877 | Cheryl L Leigh | Family Medicine | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2005-06-10 |
| 1649826975 | Brianna Faith Yates | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006 | 2019-08-13 |
| 1144723495 | Maricopa County D.b.a. Maricopa County Depart | Pharmacist | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2018-03-13 |
| 1083133243 | Amanda Scarlett | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2017-09-19 |
| 1407308000 | Jennifer Zazzarino | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2016-10-29 |
| 1013278142 | Sun Wright | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2012-06-05 |
| 1881928760 | Robert W England Jr. | Preventive Medicine | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2009-09-25 |
| 1437367935 | Maricela P Moffitt | Internal Medicine | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2007-05-18 |
| 1396963005 | Ira Yedlin | Nurse Practitioner | 1645 E Roosevelt St, Phoenix, AZ 85006-3638 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| 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 |
|---|---|---|---|---|
| 1003425000 | David M Hoehn | Pharmacist | 3413 W Donatello Dr, Phoenix, AZ 85086-2290 | 2020-07-24 |
| 1972998771 | Jordan Cottam | Pharmacist | 1515 W Aloe Vera Dr, Phoenix, AZ 85085-9032 | 2015-03-30 |
| 1821422395 | Donna Marie Faber | Pharmacist | 650 E Indian School Rd # 119, Phoenix, AZ 85012-1839 | 2013-09-02 |
| 1295946606 | Julie M Lehn | Pharmacist | 1111 East Mcdowell Road, Phoenix, AZ 85006-2612 | 2007-05-25 |
| 1912122185 | Joshua Russell Rolin | Pharmacist | 1800 E Van Buren St Ste 501, Phoenix, AZ 85006-3742 | 2007-04-14 |
| 1679695035 | James Anders Peterson | Pharmacist | 5203 E Coronado Circle, Phoenix, AZ 85044-2336 | 2007-04-05 |
| 1063508513 | Bhailal M Shah | Pharmacist | 925 E Mcdowell, 3rd Floor, Phoenix, AZ 85006 | 2006-10-04 |
| 1235243478 | Amanda Elizabeth Huels | Pharmacist | 650 E. Indian School Rd, Phoenix, AZ 85012 | 2006-08-17 |
| 1386757078 | Anthony M Webber | Pharmacist | 650 E Indian School Rd (119), Phoenix, AZ 85012 | 2006-08-16 |
| 1861939761 | Bradley Ordener | Pharmacist | 19829 N 27th Ave, Phoenix, AZ 85027-4001 | 2017-01-30 |
| Find all providers in PHOENIX | ||||
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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.