IndividualActive
Kendall Peterson, R. PH.
NPI 1265453757 · Pharmacist · Burnsville, MN
Provider details
- NPI number
- 1265453757
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R. PH.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 116694-3 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
401 County Road 42 E
Burnsville, MN 55306-5706
Phone: (952) 435-8145
Fax: (952) 435-5513
Street-level locationGet directions
Mailing address
532 Eastwood Ct
Eagan, MN 55123-3067
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.