OrganizationActive
Michael T Peters
NPI 1720244353 · Community/Retail Pharmacy · Valley Springs, CA
Michael T Peters is a Community/Retail Pharmacy organization in Valley Springs, CA (NPI 1720244353).
Provider details
- NPI number
- 1720244353
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Peters, Owner(209) 473-1762
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1919 Vista Del Lago Dr
Ste 6
Valley Springs, CA 95252-9294
Phone: (209) 772-1633
Fax: (209) 772-1676
Street-level locationGet directions
Mailing address
7302 Larkspur Ln
Stockton, CA 95207-1629
Other names (DBA / former)
- Doing business as
- Country Club Drug Store
Registry dates
- Enumerated
- 2008-08-04
- Last updated
- 2009-06-29
Frequently asked questions
- What is Michael T Peters's NPI number?
- Michael T Peters's National Provider Identifier (NPI) is 1720244353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael T Peters?
- Michael T Peters is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Michael T Peters located?
- Michael T Peters's practice location on file with NPPES is 1919 Vista Del Lago Dr, Valley Springs, CA 95252-9294.
- What is Michael T Peters's phone number?
- The practice phone number listed in the NPPES registry for Michael T Peters is (209) 772-1633.
- Who is the authorized official for Michael T Peters?
- The authorized official listed on Michael T Peters's NPPES record is Michael Peters, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael T Peters's NPI active?
- Yes — Michael T Peters's NPI (1720244353) is active in the NPPES registry as of the last update on 2009-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.