Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982192720 Individual Practitioner Female Practitioner

Dr. Stephanie Marie Petersen , PharmD

Pharmacist • Council Bluffs, IA

Professional Overview & Biography Verified Profile Summary

Dr. Stephanie Petersen, PharmD is a registered healthcare professional specializing in Pharmacist in Council Bluffs, IA. Practice services are available at 3201 MANAWA CENTRE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3201 Manawa Centre Dr

Council Bluffs, IA 515017674

Telephone 7123661315
Fax 7123660708
Associated Practice Facility / Clinic
🏢 Walmart Inc. Facility NPI 1659398048

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Council Bluffs, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
73 Specialists

Practicing in Council Bluffs, IA (3246 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IA 19167

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

3 Associated Practitioners
NPI 1306271416

Doctor of Pharmacy (Pharm.D.), Registered Pharmacist

NPI 1558845115

Doctor of Pharmacy (Pharm.D.)

Garima Gupta

Pharmacist

NPI 1982231734

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 26, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2018

Registered at 3201 MANAWA CENTRE DR, COUNCIL BLUFFS, IA 515017674 (Tel: 7123661315)

📍
Updated Business Mailing Address April 26, 2018

Registered at 3201 MANAWA CENTRE DR, COUNCIL BLUFFS, IA 515017674 (Tel: 7123661315)

👤
Provider Name / Credentials Updated April 26, 2018

Recorded as STEPHANIE PETERSEN, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2018

Pharmacist (License #19167 in IA)

🟢
Initial NPI Registration & Enumeration April 26, 2018

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: 1982192720
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2018
Last Update: April 26, 2018
Sole Proprietor: No

Mailing Address

3201 Manawa Centre Dr

Council Bluffs, IA 515017674

Phone: 7123661315

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.