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PETERSON PHARMACY
NPI 1912379504
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since October 22, 2015
2517 W PETERSON AVE, CHICAGO, IL 60659(773) 275-6300(773) 275-6400 Get Directions Write a Review

NPPES record last updated: January 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2016, Jan 11, 2016 (2 updates tracked since 2016).

About Peterson Pharmacy NPPES

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

PETERSON PHARMACY (NPI 1912379504) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since October 2015. The organization lists Altamash Khan, Manager, as its authorized official.

NPPES Registry Identity

NPI1912379504
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePETERSON PHARMACY INC
Location Address2517 W PETERSON AVEChicago, IL 60659-4108
Mailing Address2517 W Peterson AveChicago, IL 60659-4108 · (773) 275-6300 · Fax (773) 275-6400
Phone(773) 275-6300
Fax(773) 275-6400
Organization SubpartNo
Authorized OfficialAltamash KhanManager · (224) 619-9786
Enumeration DateOctober 22, 2015
Last NPPES UpdateJanuary 21, 20162 updates tracked since enumeration
✔ NPI 1912379504 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 IL · 054.019535
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
2517 W PETERSON AVE, Chicago, IL 60659
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Other Names 1

Doing Business AsPeterson Pharmacy

Other Identifiers 2

Other2154868Pk
Medicaid=========001IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City and more.Insurance ›

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 Pharmacy Inc's NPI number?

The NPI number for Peterson Pharmacy Inc is 1912379504. It was assigned to this organization in the NPPES registry on October 22, 2015. The provider is doing business as Peterson Pharmacy.

Where is Peterson Pharmacy Inc located?

Peterson Pharmacy Inc is located at 2517 W Peterson Ave, Chicago, IL 60659. The listed phone number is (773) 275-6300.

What is Peterson Pharmacy Inc's specialty?

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

What insurance does Peterson Pharmacy Inc accept?

Health plans from Avera Health Plans, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City, Humana and Moda Health Plan, Inc. and 2 other insurers list Peterson Pharmacy Inc 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 Pharmacy Inc was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.