TRAVIS GLENN PETERS


Address: 1801 N Main St, Madisonville, KY 42431-9024
Phone: 2708210377

TRAVIS GLENN PETERS (NPI# 1255980660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255980660
Entity Type Individual
Full Name TRAVIS GLENN PETERS
Credential PHARMD
Practice Address 1801 N Main St
Madisonville
KY 42431-9024
Mailing Address 527 Beachfront Dr
Evansville
IN 47715-9103
Practice Telephone 2708210377
Mailing Telephone 5026633287
Enumeration Date 2019-09-09
Last Update Date 2019-09-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P2201X Pharmacist
Specialization: Ambulatory Care
26028360A IN Pharmacy Service Providers
Y 1835P2201X Pharmacist
Specialization: Ambulatory Care
020817 KY Pharmacy Service Providers

Other Providers TRAVIS PETERS

NPI Name Taxonomy Address Enumeration
1053824102 Travis John Peters Nurse's Aide 1501 Airport Rd, Waukesha, WI 53188-2461 2017-11-12

Office Location

Street Address 1801 N MAIN ST
City MADISONVILLE
State KY
Zip Code 42431-9024

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104425255 Kirandeep Kaur Pharmacist 1801 N Main St, Madisonville, KY 42431-9024 2020-10-20
1497352892 Traci Emily Worrell Pharmacist 1801 N Main St, Madisonville, KY 42431-9024 2020-10-08
1689080186 Amy Abbott Pharmacist 1801 N Main St, Madisonville, KY 42431-9024 2014-07-03
1184065427 Mallory Karla Dugger Pharmacist 1801 N Main St, Madisonville, KY 42431-9024 2013-07-15
1790069409 Heather Pendergraff Oldham Pharmacist 1801 N Main St, Madisonville, KY 42431 2011-09-30
1437432341 Elizabeth Anne Young Pharmacist 1801 N Main St, Madisonville, KY 42431-9024 2011-09-27
1366625782 Walgreen Co. Durable Medical Equipment & Medical Supplies 1801 N Main St, Madisonville, KY 42431-9024 2007-12-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750846309 Sarah Davenport Ziegler Registered Nurse 3050 Nebo Rd, Madisonville, KY 42431 2019-02-08
1134604903 Kelsey Dawn Wilson Occupational Therapist 425 Island Ford Rd, Madisonville, KY 42431 2018-09-27
1174006209 Shaun Vickery Physical Therapist 425 Island Ford Road, Madisonville, KY 42431 2018-09-14
1881115384 Filza Tajik Speech-Language Pathologist 1305-1 W. Noel Ave, Unit 1, Madisonville, KY 42431 2017-07-05
1245769280 Susan Hart Student in an Organized Health Care Education/Training Program 200 Clinic Drive, Third North, Madisonville, KY 42431 2017-06-05
1811363880 Cory Eakins Nutritionist 2223 S Main St, Madisonville, KY 42431 2015-08-13
1932598257 Deidra Boyken Counselor 145 E. Center Street Suite 1d, Madisonville, KY 42431 2015-01-12
1841602398 Jessica France Occupational Therapist 339 S Seminary St, Madisonville, KY 42431 2014-06-02
1497097562 Sunrise Children's Services Community/Behavioral Health 1079 Thornberry Dr Ste 203, Madisonville, KY 42431 2013-03-26
1013275023 Creasha King Counselor 1079 Thornberry Dr Ste B, Madisonville, KY 42431 2012-04-26
Find all providers in zip 42431

Taxonomy Information

Taxonomy Code 1835P2201X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Ambulatory Care

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community.
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1184166043 Concetta Lawson Pharmacist 740 S Limestone J134, Lexington, KY 40536-0001 2016-11-09
1992258198 Kristen Preston Pharmacist 50 Weddington Branch Rd Ste C, Pikeville, KY 41501-3296 2016-07-25
1437505666 Patricia Ann Neal Pharmacist 230 S L Rogers Wells Blvd, Glasgow, KY 42141-1129 2016-05-06
1801496385 Kimber Woodrum Pharmacist 301 Leonardwood Rd, Frankfort, KY 40601-6531 2020-10-26
1194324228 Daniel Drake Pharmacist 740 S Limestone, Lexington, KY 40536-0001 2020-10-20
1699373399 Clifford Fryar Pharmacist 9001 Us Highway 42, Union, KY 41091-7191 2020-10-14
1871106344 Scott Christopher Bryant Pharmacist 3980 Dixie Hwy, Louisville, KY 40216-4144 2020-08-25
1346867611 Taylor Hawkins Pharmacist 550 S Jackson St, Louisville, KY 40202-1622 2020-07-02
1194340703 Tyler Guess Pharmacist 400 E Arcadia Ave, Dawson Springs, KY 42408-1638 2020-06-09
1639714496 Emily Helene Hammond Pharmacist 1000 South Limestone, Lexington, KY 40536-0001 2019-11-15
Find all providers with the same taxonomy

Competitor

Search similar providers

City MADISONVILLE
Zip Code 42431

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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