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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Conner Peterson, PHARMD

Pharmacist in Boise, ID · enumerated 2016 · practices at Walgreen Co.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104379064

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Registry record

Entity type Individual (Type 1)
Name Conner Peterson
Credential PHARMD
Sex Male
Practice address Boise, ID, 83702
Phone (208) 331-4187
Enumeration date Jul 27, 2016
Last updated in NPPES Jul 27, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License P7602 (ID) Primary
PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Conner Peterson's NPI record?
Cross-check NPI 1104379064 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1104379064 active?
Yes, as of the latest NPPES snapshot, NPI 1104379064 is active (record last updated 2016-07-27).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-27.