COLLIN JAMES PEACOCK (NPI# 1316387806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316387806 |
| Entity Type | Individual |
| Full Name | COLLIN JAMES PEACOCK |
| Credential | PHARMD |
| Practice Address |
3312 E 29th St Bryan TX 77802-2730 |
| Practice Telephone | 9797769128 |
| Mailing Telephone | 9797769128 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 53049 | TX | Pharmacy Service Providers |
| Street Address |
3312 E 29TH ST |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003823980 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3312 E 29th St, Bryan, TX 77802-2730 | 2006-08-02 |
| 1730603945 | Adriana Nicolle Amagliani | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2017-07-29 |
| 1194188433 | Daniel Lam | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2016-04-04 |
| 1619346962 | Bunnath Hou Chy | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2015-09-16 |
| 1124429105 | Jenna Thornton | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2014-09-10 |
| 1649518622 | Kuo-hong Chuang | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2013-01-25 |
| 1043595366 | Walgreens | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2011-10-18 |
| 1114256518 | Mary Katherine Hines | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2009-12-14 |
| 1346579737 | Homa Arbab Spencer | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2009-12-14 |
| 1265761704 | Judy Voyles | Pharmacist | 3312 E 29th St, Bryan, TX 77802-2730 | 2009-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346869716 | Oscar Leobardo Chavez | Pharmacist | 1640 Barak Ln, Bryan, TX 77802-3321 | 2020-04-15 |
| 1033450259 | Keith Michael Wiley | Pharmacist | 725 E Villa Maria Rd, Bryan, TX 77802-5319 | 2013-03-13 |
| 1023395753 | Stephanie Nicole Cozine | Pharmacist | 2100 S Texas Ave, Bryan, TX 77802-1835 | 2011-11-09 |
| 1780960930 | Nari Choi | Pharmacist | 3329 E 29th St, Bryan, TX 77802 | 2011-11-01 |
| 1992005987 | Thanh Tran | Pharmacist | 1901 S Texas Ave, Walmart Neighborhood Market Pharmacy, Bryan, TX 77802-1832 | 2010-10-25 |
| 1740434414 | Loyd Douglas Rowe Jr. | Pharmacist | 2300 De Lee St, Bryan, TX 77802-2815 | 2008-11-07 |
| 1124140876 | Deborah Lynne O'dell | Pharmacist | 1100 Ursuline Ave, Bryan, TX 77803-4951 | 2007-04-04 |
| 1568596005 | Michael Henry Clausing | Pharmacist | 1221 W High St, Bryan, OH 43506-1543 | 2007-03-15 |
| 1689704751 | Jamie Lea Killingsworth | Pharmacist | 3061 Wildflower Dr, Bryan, TX 77802-3060 | 2007-03-06 |
| 1295872356 | Walter F. Hoke | Pharmacist | 3370 South Texas Ave, #b, Bryan, TX 77802 | 2007-01-30 |
| Find all providers in BRYAN | ||||
Please comment or provide details below to improve the information on COLLIN JAMES PEACOCK.
| 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.