Peterson's Supermarket, Inc
NPI 1194495051ActiveOrganization· Pharmacy· Gothenburg, NE
Pharmacy in Gothenburg, Nebraska, registered in NPPES in September 2021. The authorized official on file is Michael Peterson, Manager Of Supermarket.
Overview
| NPI | 1194495051 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2021 |
| Last updated in NPPES | Sep 15, 2021 |
| Certified by provider | Sep 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacy providers in Gothenburg
- 1134790090