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PETERSON'S SUPERMARKET, INC
NPI 1194495051
Pharmacy in Gothenburg, NE

Active since September 14, 2021
718 4TH ST, GOTHENBURG, NE 69138(308) 537-2048 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peterson's Supermarket, Inc NPPES

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

PETERSON'S SUPERMARKET, INC (NPI 1194495051), doing business as Fresh Seasons Pharmacy, is a healthcare organization registered as a pharmacy in Gothenburg, Nebraska and active in the NPI registry since September 2021. The organization lists Michael Peterson, Manager Of Supermarket, as its authorized official.

NPPES Registry Identity

NPI1194495051
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NamePETERSON'S SUPERMARKET, INC
Location Address718 4TH STGothenburg, NE 69138-2347
Mailing Address718 4th StGothenburg, NE 69138-2347 · (308) 537-2048
Phone(308) 537-2048
Organization SubpartNo
Authorized OfficialMichael PetersonManager Of Supermarket · (308) 537-2048
Enumeration DateSeptember 14, 2021
Last NPPES UpdateSeptember 15, 2021
NPPES CertifiedSeptember 15, 2021
✔ NPI 1194495051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
718 4TH ST, Gothenburg, NE 69138
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Other Names 1

Doing Business AsFresh Seasons Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES

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

MICHAEL GUSTAVO PETERSON
Pharmacy
718 4TH ST
GOTHENBURG, NE 69138
Dawson County (308) 537-2048

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 Peterson's Supermarket, Inc's NPI number?

The NPI number for Peterson's Supermarket, Inc is 1194495051. It was assigned to this organization in the NPPES registry on September 14, 2021. The provider is doing business as Fresh Seasons Pharmacy.

Where is Peterson's Supermarket, Inc located?

Peterson's Supermarket, Inc is located at 718 4th St, Gothenburg, NE 69138. The listed phone number is (308) 537-2048.

What is Peterson's Supermarket, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Peterson's Supermarket, Inc accept?

Health plans from Medica list Peterson's Supermarket, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peterson's Supermarket, Inc was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.