Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164962213 Individual Practitioner Male Practitioner

Mitchell Petersen

Pharmacy Technician • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Mitchell Petersen is a registered healthcare professional specializing in Pharmacy Technician in Saint Paul, MN. Practice services are available at 550 VANDALIA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

550 Vandalia St
175

Saint Paul, MN 551141833

Telephone 6513136733
Associated Practice Facility / Clinic
🏢 Open Arms Minnesota Facility NPI 1750513743

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy Technician in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
15 Specialists

Practicing in Saint Paul, MN (143 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

Pharmacy Technician Primary Specialty

NUCC Taxonomy Code: 183700000X

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Practice Associates & Co-Workers

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

16 Associated Practitioners
NPI 1134768864

Doctor of Pharmacy (Pharm.D.), MHI

Jack Dwyer

Health Educator

NPI 1235629775
Dejanee Jones

Pharmacy Technician

NPI 1235636937
Jaime Rennich

Pharmacy Technician

NPI 1235673922
Deena Livon-Shragg

Pharmacy Technician

NPI 1295296895
NPI 1316428873

Registered Nurse, Bachelor of Science in Nursing

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2017

Registered at 550 VANDALIA ST, 175, SAINT PAUL, MN 551141833 (Tel: 6513136733)

📍
Updated Business Mailing Address March 07, 2017

Registered at 4251 SUNRISE RD, EAGAN, MN 551222246

👤
Provider Name / Credentials Updated March 07, 2017

Recorded as MITCHELL PETERSEN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2017

Pharmacy Technician

🟢
Initial NPI Registration & Enumeration March 07, 2017

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: 1164962213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2017
Last Update: March 07, 2017
Sole Proprietor: Yes

Mailing Address

4251 Sunrise Rd

Eagan, MN 551222246

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.