Peter James Hendrickson, RPh
Pharmacist in Maricopa, AZ. Individual provider (NPI-1).
NPI number1972833002
StatusActive
Last updated in NPPESJan 13, 2010
Details
- NPI
- 1972833002
- Entity type
- Individual (NPI-1)
- Name
- Peter James Hendrickson
- Credential
- RPh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2010
- Last updated
- Jan 13, 2010
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 | S014671 | AZ | Yes |
Practice location
21274 N John Wayne PkwyMaricopa, AZ 85139-8952
Phone 520-568-0672
Mailing address
21274 N John Wayne PkwyMaricopa, AZ 85139-8952
Phone 520-568-0672
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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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