Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134790090 Individual Practitioner Male Practitioner

Michael Gustavo Peterson

Pharmacy • Gothenburg, NE

Professional Overview & Biography Verified Profile Summary

Michael Peterson is a registered healthcare professional specializing in Pharmacy in Gothenburg, NE. Practice services are available at 718 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

718 4th St

Gothenburg, NE 691382347

Telephone 3085372048
Fax 3085372231
Associated Practice Facility / Clinic
🏢 Peterson's Supermarket, Inc Facility NPI 1194495051

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy in Gothenburg, NE

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

Practicing in Gothenburg, NE (1 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: 2021-07-07
Pharmacy Primary Specialty

NUCC Taxonomy Code: 333600000X

State License NE 805

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2021

Registered at 718 4TH ST, GOTHENBURG, NE 691382347 (Tel: 3085372048)

📍
Updated Business Mailing Address July 07, 2021

Registered at 718 4TH ST, GOTHENBURG, NE 691382347 (Tel: 3085372048)

👤
Provider Name / Credentials Updated July 07, 2021

Recorded as MICHAEL PETERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2021

Pharmacy (License #805 in NE)

🟢
Initial NPI Registration & Enumeration July 01, 2021

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: 1134790090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2021
Last Update: July 07, 2021
Sole Proprietor: Yes

Mailing Address

718 4th St

Gothenburg, NE 691382347

Phone: 3085372048

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.