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Justin Robert Peterson, PHARMD, RPH

NPI 1043942865ActiveIndividual· Pharmacist· Osage Beach, MO

Pharmacist (PHARMD, RPH) in Osage Beach, Missouri, licensed in MO, with an NPI issued in June 2022. Part D covered 79 prescriptions written in 2024, 0% of them generic.

Overview

NPI1043942865
StatusActive
Entity typeIndividual
CredentialPHARMD, RPH
Sole proprietorNo
NPI issuedJun 29, 2022
Last updated in NPPESJun 29, 2022
Certified by providerJun 29, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X2022023819MO

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)79 · 79 30-day fills
Patients68
Total drug cost$10,392
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Osage Beach

All 29 pharmacists in Osage Beach · All pharmacists in Missouri