Penny Peterson
Pharmacist in Portland, ME. Individual provider (NPI-1).
NPI number1215530837
StatusActive
Last updated in NPPESNov 17, 2020
Details
- NPI
- 1215530837
- Entity type
- Individual (NPI-1)
- Name
- Penny Peterson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 17, 2020
- Certification date
- Nov 17, 2020
- Last updated
- Nov 17, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PR4825 | ME | Yes |
Practice location
510 Congress StPortland, ME 04101-3416
Phone 207-774-4525
Mailing address
510 Congress StPortland, ME 04101-3416
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 167 Pharmacist providers in Portland · All 7,184 providers in Portland
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