Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467054890 Individual Practitioner Male Practitioner

Peter Komu

Pharmacist • Fort Bragg, CA

Professional Overview & Biography Verified Profile Summary

Peter Komu is a registered healthcare professional specializing in Pharmacist in Fort Bragg, CA. Practice services are available at 490 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

490 S Main St

Fort Bragg, CA 954374806

Telephone 7079641848
Associated Practice Facility / Clinic
🏢 Thrifty Payless Inc Facility NPI 1679682009

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fort Bragg, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
19 Specialists

Practicing in Fort Bragg, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-03
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 83661

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1023011251

Doctor of Philosophy (Ph.D.), Registered Pharmacist

Andrea D'souza

Pharmacist

NPI 1407676646
NPI 1487940516

Doctor of Pharmacy (Pharm.D.)

Waseem Bader

Pharmacist

NPI 1588330260
Stella Katisi

Pharmacist

NPI 1750921458
Deborah Chang

Pharmacist

NPI 1902527203

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location February 03, 2023

Registered at 490 S MAIN ST, FORT BRAGG, CA 954374806 (Tel: 7079641848)

NPI Profile Active November 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2020

Registered at 1216 LITCHFIELD LN, BURLESON, TX 760288226 (Tel: 6466445236)

📍
Updated Business Mailing Address November 10, 2020

Registered at 1216 LITCHFIELD LN, BURLESON, TX 760288226 (Tel: 6466445236)

👤
Provider Name / Credentials Updated November 10, 2020

Recorded as PETER KOMU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2020

Pharmacist (License #83661 in CA)

🟢
Initial NPI Registration & Enumeration November 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467054890
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2020
Last Update: February 03, 2023
Sole Proprietor: Yes

Mailing Address

1216 Litchfield Ln

Burleson, TX 760288226

Phone: 6466445236

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.