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Timothy Lee Peterson, PHARMD, RPH

NPI 1023178738ActiveIndividual· Pharmacist· Saint Peter, MN

Pharmacist (PHARMD, RPH) in Saint Peter, Minnesota, licensed in MN and IL, with an NPI issued in December 2006. Part D covered 14 prescriptions written in 2024, 0% of them generic.

Overview

NPI1023178738
StatusActive
Entity typeIndividual
CredentialPHARMD, RPH
Sole proprietorNo
NPI issuedDec 11, 2006
Last updated in NPPESMar 29, 2026
Certified by providerMar 29, 2026
ReactivatedJul 29, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X116614-7MN
Pharmacist183500000X051.040872IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)14 · 14 30-day fills
Patients14
Total drug cost$2,949
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Saint Peter

All 16 pharmacists in Saint Peter · All pharmacists in Minnesota