IndividualActive
Kenneth Petersen, RPH
NPI 1972879401 · Pharmacist · Lacey, WA
Kenneth Petersen, RPH is a Pharmacist provider in Lacey, WA (NPI 1972879401).
Provider details
- NPI number
- 1972879401
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- PH00019664 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
5500 Martin Way E
Lacey, WA 98516-6326
Phone: (360) 456-4057
Street-level locationGet directions
Mailing address
5500 Martin Way S.e.
Lacey, WA 98516
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2012-03-29
Frequently asked questions
- What is Kenneth Petersen's NPI number?
- Kenneth Petersen's National Provider Identifier (NPI) is 1972879401, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Petersen's specialty?
- Kenneth Petersen is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kenneth Petersen located?
- Kenneth Petersen's practice location on file with NPPES is 5500 Martin Way E, Lacey, WA 98516-6326.
- What is Kenneth Petersen's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Petersen is (360) 456-4057.
- Is Kenneth Petersen's NPI active?
- Yes — Kenneth Petersen's NPI (1972879401) is active in the NPPES registry as of the last update on 2012-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.