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KEVEN PETERSON 1835P0018X NPI 1194101873


NPI Information

NPI: 1194101873
Provider Name: KEVEN PETERSON, 1835P0018X
Classification: Pharmacist - 183500000X
Entity Type: Individual
Address:
2490 NE HIGHWAY 99W
MCMINNVILLE, OR
ZIP 97128
Phone: (503) 435-3125
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Keven Peterson, 1835P0018X is a pharmacist in Mcminnville, OR. The provider is 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. Keven Peterson, 1835P0018X NPI is 1194101873. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2490 NE HIGHWAY 99W
MCMINNVILLE, OR
ZIP 97128-204
Phone: (503) 435-3125
Fax: (503) 435-3128

The enumeration date for this NPI number is 8/5/2015 and was last updated on 12/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-0014096OREGONNo
2183500000XPharmacistRPH-0014096OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RPH-0014096OTHERPHARMACY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.