PETER W. JAEGER PHARM.D. – NPI #1487138988
Pharmacist

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

Health Care Provider Taxonomy Code for Pharmacist

PETER JAEGER is a pharmacist located in RED LAKE, MN. NPPES has assigned the NPI number 1487138988 to PETER JAEGER on September 20, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 1835P0018X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

The NPI profile was previously updated about 6 years ago on May 08, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETER JAEGER below.

NPI Profile for
PETER W. JAEGER

NPI Number
1487138988
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PETER W. JAEGER
Credentials
PHARM.D.
Primary location
24760 HOSPITAL RD
RED LAKE, MN 56671
Phone: (218) 679-0169 Fax:
Mailing address
9321 ALAMANDER CT APT 201
FORT MYERS, FL 33919-7428
Phone: (630) 880-6752 Fax:
Sole Proprietor
No
Updated
Certification Date
May 08, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835P0018X
- Pharmacist / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Primary)		 MO 2018033923
183500000X
- Pharmacist		 MO 2018033923

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.