JACOB JOHN PETERSON PHARMD
NPI 1154939262
Pharmacist in Waterloo, IA

Active since July 15, 2020
1825 LOGAN AVE, WATERLOO, IA 50703(319) 235-3510 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob John Peterson Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB JOHN PETERSON PHARMD (NPI 1154939262) is an individual pharmacist in Waterloo, Iowa, licensed in Iowa (22766) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1154939262
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJACOB JOHN PETERSONCredential: PHARMD
Location Address1825 LOGAN AVEWaterloo, IA 50703-1916
Mailing Address4328 Paddington DrCedar Falls, IA 50613-8917 · (319) 830-7471
Sole ProprietorNo
Enumeration DateJuly 15, 2020
NPPES CertifiedJuly 15, 2020
NPI 1154939262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IA · 22766
Definition
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.
1825 LOGAN AVE, Waterloo, IA 50703

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1825 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner
1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703
Physician Assistant
1825 LOGAN AVE
WATERLOO, IA 50703
Clinical Medical Laboratory
1825 LOGAN AVE
WATERLOO, IA 50703
Nurse Practitioner (Family)
1825 LOGAN AVE
WATERLOO, IA 50703
Internal Medicine
1825 LOGAN AVE
WATERLOO, IA 50703
Pharmacist
1825 LOGAN AVE
WATERLOO, IA 50703
Social Worker (Clinical)
1825 LOGAN AVE
WATERLOO, IA 50703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Peterson's NPI number?

The NPI number for Jacob Peterson is 1154939262. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Jacob Peterson located?

Jacob Peterson practices at 1825 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 235-3510.

What is Jacob Peterson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jacob Peterson was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.