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RICHARD LEIGHTON PEATMAN NPI 1841394897


NPI Information

NPI: 1841394897
Provider Name: RICHARD LEIGHTON PEATMAN

Doing Business As: MEADOW VISTA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
16893 PLACER HILLS RD
MEADOW VISTA, CA
ZIP 95722
Phone: (530) 878-7440
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RICHARD LEIGHTON PEATMAN is a community/retail pharmacy pharmacy in Meadow Vista, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. RICHARD LEIGHTON PEATMAN NPI is 1841394897. The provider is registered as an organization entity type.
The provider Is Doing Business As Meadow Vista Pharmacy.

The provider's business location address is:

16893 PLACER HILLS RD
MEADOW VISTA, CA
ZIP 95722-531
Phone: (530) 878-7440

The provider's authorized official is Richard Leighton Peatman .
The authorized official title is Owner and has the following contact phone number (530) 878-7440.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 11/2/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyPHY42061CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA420610MEDICAIDCALIFORNIA
21998848OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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