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PETERSON PHARMACY
NPI 1396827077
Pharmacy - Community/Retail Pharmacy in Ogden, UT

Active since October 20, 2006
4650 HARRISON BLVD, OGDEN, UT 84403(801) 479-4030(801) 475-7051 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Peterson Pharmacy NPPES

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

PETERSON PHARMACY (NPI 1396827077) is a healthcare organization registered as a community/retail pharmacy in Ogden, Utah and active in the NPI registry since October 2006. The organization lists Gary Lynn Bailey, President, as its authorized official.

NPPES Registry Identity

NPI1396827077
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDIVERSIFIED PROFESSIONAL COMPANY
Location Address4650 HARRISON BLVDOgden, UT 84403-4303
Mailing AddressPo Box 150010Ogden, UT 84415-0010 · (801) 479-4030 · Fax (801) 475-7051
Phone(801) 479-4030
Fax(801) 475-7051
Organization SubpartNo
Authorized OfficialGary Lynn BaileyPresident · (801) 479-4030
Enumeration DateOctober 20, 2006
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1396827077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 132801-1703
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4650 HARRISON BLVD, Ogden, UT 84403
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Other Names 1

Doing Business AsPeterson Pharmacy

Other Identifiers 2

Medicaid870218488006UT
Medicare NSC0437970001UT

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.

CHAD W TINGEY MD
Dermatology
4650 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 475-3090
CALEB KNIGHT PA-C
Physician Assistant
4650 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 475-3011
JESSICA B MEENTS PA-C
Physician Assistant
4650 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 475-3090
MEGAN C WALKER MS-SLP
Speech-Language Pathologist
4650 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 475-3083
SYDNEY C PIERCEY MD
Psychiatry & Neurology (Neurology)
4650 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 475-3200
OGDEN CLINIC SPECIALTY SERVICES LLC
Family Medicine (Sports Medicine)
4650 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 475-3000
JENNA M RHOTON PA-C
Physician Assistant
4650 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 475-3010
MARY ELLEN MASON DO
Family Medicine
4650 HARRISON BLVD
OGDEN, UT 84403
Weber County (801) 475-3010

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 Diversified Professional Company's NPI number?

The NPI number for Diversified Professional Company is 1396827077. It was assigned to this organization in the NPPES registry on October 20, 2006. The provider is doing business as Peterson Pharmacy.

Where is Diversified Professional Company located?

Diversified Professional Company is located at 4650 Harrison Blvd, Ogden, UT 84403. The listed phone number is (801) 479-4030.

What is Diversified Professional Company's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Diversified Professional Company was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.