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DR. GARY PHILLIP PETERSON PHARMD
NPI 1619258639
Pharmacist in Rockford, IL

Active since September 03, 2011
2404 S PERRYVILLE RD, ROCKFORD, IL 61108(815) 332-3256(815) 332-4180 Get Directions Write a Review

NPPES record last updated: September 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Phillip Peterson Pharmd NPPES

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

DR. GARY PHILLIP PETERSON PHARMD (NPI 1619258639) is an individual pharmacist in Rockford, Illinois, licensed in Illinois (051.290809) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1619258639
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. GARY PHILLIP PETERSONCredential: PHARMD
Location Address2404 S PERRYVILLE RDRockford, IL 61108-8231
Mailing Address2404 S Perryville RdRockford, IL 61108-8231 · (815) 332-3256 · Fax (815) 332-4180
Phone(815) 332-3256
Fax(815) 332-4180
Sole ProprietorYes
Enumeration DateSeptember 3, 2011
✔ NPI 1619258639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IL · 051.290809
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.
2404 S PERRYVILLE RD, Rockford, IL 61108
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Other Providers at the Same Location NPPES 7

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

DR. KHAREEMAT OYINDAMOLA GEORGE PHARMD, RPH
Pharmacist
2404 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (815) 332-3256
WALGREEN CO.
Clinical Medical Laboratory
2404 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (815) 332-3256
REBECCA DIANE BOGACKI PHARMD
Pharmacist
2404 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (815) 332-3256
WALGREEN CO
Pharmacy
2404 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (815) 332-3256
SHARON MCAULIFFE PHARMD
Pharmacist
2404 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (815) 332-4180
DR. MAURA SULLIVAN PHARMD
Pharmacist
2404 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (815) 332-3256
DR. ANDREW JOSEPH DAVIS PHARM.D.
Pharmacist
2404 S PERRYVILLE RD
ROCKFORD, IL 61108
Winnebago County (815) 332-3256

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 Gary Peterson's NPI number?

The NPI number for Gary Peterson is 1619258639. It was assigned to this individual provider in the NPPES registry on September 3, 2011.

Where is Gary Peterson located?

Gary Peterson practices at 2404 S Perryville Rd, Rockford, IL 61108. The listed phone number is (815) 332-3256.

What is Gary 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 Gary Peterson was last updated on September 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.