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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053824102 | Travis John Peters | Nurse's Aide | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2017-11-12 |
Street Address |
1801 N MAIN ST |
City | MADISONVILLE |
State | KY |
Zip Code | 42431-9024 |
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 |
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 Code | 1835P2201X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Ambulatory Care |
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] |
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 |
City | MADISONVILLE |
Zip Code | 42431 |
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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.