MICHAEL GUSTAVO PETERSON
NPI 1134790090
Pharmacy in Gothenburg, NE
NPI Status: Active since July 01, 2021
Contact Information
718 4TH ST
GOTHENBURG, NE
ZIP 69138
Phone: (308) 537-2048
Fax: (308) 537-2231
- Individual
- Male
- Pharmacy
About MICHAEL PETERSON
This page provides the complete NPI Profile along with additional information for Michael Peterson, a provider established in Gothenburg, Nebraska with a medical specialization in Pharmacy. The healthcare provider is registered in the NPI registry with number 1134790090 assigned on July 2021. The practitioner's primary taxonomy code is 333600000X with license number 805 (NE). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1134790090
- Provider Name
- MICHAEL GUSTAVO PETERSON
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 718 4TH ST GOTHENBURG, NE 69138
- Location Phone
- (308) 537-2048
- Location Fax
- (308) 537-2231
- Mailing Address
- 718 4TH ST GOTHENBURG, NE 69138
- Mailing Phone
- (308) 537-2048
- Mailing Fax
- (308) 537-2231
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-01-2021
- Last Update Date
- 07-07-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pharmacy
- Taxonomy Code
- 333600000X
- Type
- Suppliers
- License No.
- 805
- License State
- NE
- Taxonomy Description
- 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.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 3 | 4 | 7 | 9 | 0 | 0 | 9 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 6 | 4 | 14 | 9 | 0 | 0 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 6 + 4 + 1 + 4 + 9 + 0 + 0 + 1 + 8 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1134790090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1194495051 | PETERSON'S SUPERMARKET, INC Organization | Pharmacy | 718 4TH ST GOTHENBURG, NE 69138 (308) 537-2048 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134790090, enumerated in the NPI registry as an "individual" on July 01, 2021
The provider is located at 718 4th St Gothenburg, Ne 69138 and the phone number is (308) 537-2048
The provider's speciality is Pharmacy with taxonomy code 333600000X
This NPI record was last updated on July 01, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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