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PETERSON'S FRESH MARKET
NPI 1780917930
Pharmacy - Community/Retail Pharmacy in Riverton, UT

Active since September 04, 2009CLIA 46D2042888 · Waiver
1784 W 12600 S, RIVERTON, UT 84065(801) 254-0809(801) 254-5982 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Peterson's Fresh Market NPPES

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

PETERSON'S FRESH MARKET (NPI 1780917930) is a healthcare organization registered as a community/retail pharmacy in Riverton, Utah and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through June 20, 2028 and lists Monte Peterson, Chairman/owner, as its authorized official.

NPPES Registry Identity

NPI1780917930
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePETERSON MARKET LLC
Location Address1784 W 12600 SRiverton, UT 84065-7025
Mailing Address1784 W 12600 SRiverton, UT 84065-7025 · (801) 254-0809 · Fax (801) 254-5892
Phone(801) 254-0809
Fax(801) 254-5982
Organization SubpartNo
Authorized OfficialMonte PetersonChairman/owner · (801) 254-0761
Enumeration DateSeptember 4, 2009
Last NPPES UpdateNovember 14, 2016
✔ NPI 1780917930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 86317321703
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.
Also ListedPharmacyTaxonomy 333600000X
1784 W 12600 S, Riverton, UT 84065
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Other Names 1

Doing Business AsPeterson's Fresh Market

Other Identifiers 1

Other2140532Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 46D2042888

Peterson Market, LLC · Riverton, UT
Active · expires Jun 20, 2028
CLIA Number46D2042888
Laboratory TypePharmacy
Certificate Effective DateJune 21, 2026
Certificate Expiration DateJune 20, 2028
Laboratory DirectorDarryl Wagner
Laboratory Phone(801) 254-0809
Laboratory LocationPeterson Market, LLC1784 W 12600 S, Riverton, UT 84065
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MR. PIETER ARNOLDUS STEYN RPH
Pharmacist
1784 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 254-0198
JAIME L SALMON PHARMD, RPH, CDM
Pharmacist
1784 W 12600 S
RIVERTON, UT 84065
Salt Lake County (801) 254-0198

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 Market LLC's NPI number?

The NPI number for Peterson Market LLC is 1780917930. It was assigned to this organization in the NPPES registry on September 4, 2009. The provider is doing business as Peterson's Fresh Market.

Where is Peterson Market LLC located?

Peterson Market LLC is located at 1784 W 12600 S, Riverton, UT 84065. The listed phone number is (801) 254-0809.

What is Peterson Market LLC's specialty?

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

Does Peterson Market LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2042888) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peterson Market LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Peterson Market LLC 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 Market LLC was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.