Petersen Investments, LLC
NPI 1518504984ActiveOrganization· Pharmacy, Compounding Pharmacy· Vancouver, WA
Pharmacy, Compounding Pharmacy in Vancouver, Washington, registered in NPPES in December 2019. The authorized official on file is Kristopher Petersen, PHARMD, Managing Member.
Overview
| NPI | 1518504984 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2019 |
| Last updated in NPPES | Feb 21, 2020 |
| Certified by provider | Feb 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Compounding Pharmacy Primary | 3336C0004X | — | — |
| Pharmacy | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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