Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MARK C PETERSON
NPI 1255252078
Pharmacist in Waconia, MN

Active since July 25, 2026
500 S MAPLE ST, WACONIA, MN 55387(952) 442-2191 Get Directions Write a Review

NPPES record added: July 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark C Peterson NPPES

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

MARK C PETERSON (NPI 1255252078) is an individual pharmacist in Waconia, Minnesota, licensed in Minnesota (124999) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1255252078
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMARK C PETERSON
Location Address500 S MAPLE STWaconia, MN 55387-1791
Mailing Address500 S Maple StWaconia, MN 55387-1791 · (952) 442-2191
Sole ProprietorNo
Enumeration DateJuly 25, 2026
NPPES CertifiedJuly 25, 2026
NPI 1255252078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MN · 124999
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.

500 S MAPLE ST, Waconia, MN 55387

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.

Internal Medicine
500 S MAPLE ST
WACONIA, MN 55387
Internal Medicine
500 S MAPLE ST
WACONIA, MN 55387
Emergency Medicine
500 S MAPLE ST
WACONIA, MN 55387
Emergency Medicine
500 S MAPLE ST
WACONIA, MN 55387
Emergency Medicine
500 S MAPLE ST
WACONIA, MN 55387
Emergency Medicine
500 S MAPLE ST
WACONIA, MN 55387
Emergency Medicine
500 S MAPLE ST
WACONIA, MN 55387
Physician Assistant
500 S MAPLE ST
WACONIA, MN 55387

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 Mark Peterson's NPI number?

The NPI number for Mark Peterson is 1255252078. It was assigned to this individual provider in the NPPES registry on July 25, 2026.

Where is Mark Peterson located?

Mark Peterson practices at 500 S Maple St, Waconia, MN 55387. The listed phone number is (952) 442-2191.

What is Mark 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 Mark Peterson was last updated on July 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.