DR. MARY JANEEN PETERSEN PHARM D
NPI 1609176163
Pharmacist in Livermore, CA

Active since October 29, 2010
4495 FIRST ST, LIVERMORE, CA 94551(925) 455-2522(925) 455-2525 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mary Janeen Petersen Pharm D NPPES

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

DR. MARY JANEEN PETERSEN PHARM D (NPI 1609176163) is an individual pharmacist in Livermore, California, licensed in California (52613) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1609176163
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. MARY JANEEN PETERSENCredential: PHARM D
Location Address4495 FIRST STLivermore, CA 94551-4915
Mailing Address4495 First StLivermore, CA 94551-4915 · (925) 455-2522 · Fax (925) 455-2525
Fax(925) 455-2525
Sole ProprietorNo
Enumeration DateOctober 29, 2010
Last NPPES UpdateMarch 21, 2019
NPI 1609176163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 52613
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.
4495 FIRST ST, Livermore, CA 94551

Other Providers at the Same Location NPPES 8

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

Pharmacist
4495 FIRST ST
LIVERMORE, CA 94551
Pharmacist
4495 FIRST ST
LIVERMORE, CA 94551
Pharmacist
4495 FIRST ST
LIVERMORE, CA 94551
Pharmacist
4495 FIRST ST
LIVERMORE, CA 94551
Pharmacy (Community/Retail Pharmacy)
4495 FIRST ST
LIVERMORE, CA 94551
Pharmacist
4495 FIRST ST
LIVERMORE, CA 94551
Pharmacist
4495 FIRST ST
LIVERMORE, CA 94551
Pharmacist
4495 FIRST ST, SAFEWAY PHARMACY
LIVERMORE, CA 94551

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 Mary Petersen's NPI number?

The NPI number for Mary Petersen is 1609176163. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Mary Petersen located?

Mary Petersen practices at 4495 First St, Livermore, CA 94551. The listed phone number is (925) 455-2522.

What is Mary Petersen'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 Mary Petersen was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.