What is Conner Peterson's NPI number?

Conner Peterson's National Provider Identifier (NPI) is 1104379064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Conner Peterson's specialty?

Conner Peterson is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Conner Peterson located?

Conner Peterson's practice location on file with NPPES is 455 S Broadway Ave, Boise, ID 83702-7643.

What is Conner Peterson's phone number?

The practice phone number listed in the NPPES registry for Conner Peterson is (208) 331-4187.

Is Conner Peterson's NPI active?

Yes — Conner Peterson's NPI (1104379064) is active in the NPPES registry as of the last update on 2016-07-27.

IndividualActive

Conner Peterson, PHARMD

NPI 1104379064 · Pharmacist · Boise, ID

Conner Peterson, PHARMD is a Pharmacist provider in Boise, ID (NPI 1104379064).

Provider details

NPI number: 1104379064
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: Yes
License: P7602 (ID)

Specialties & taxonomies

PharmacistPrimary183500000XLicense P7602 (ID)
Pharmacy Service Providers

Profile Score

Established profile(71/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
9 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

455 S Broadway Ave

Boise, ID 83702-7643

Phone: (208) 331-4187

Street-level locationGet directions

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Mailing address