CRYSTAL PETERSON (NPI# 1619344611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619344611 |
| Entity Type | Individual |
| Full Name | CRYSTAL PETERSON |
| Practice Address |
10113 High Eagle Trl Fort Worth TX 76108-4196 |
| Practice Telephone | 8172350495 |
| Mailing Telephone | 8172350495 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 57255 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932444965 | Crystal Peterson | Midwife | 83 W Miller St, Orlando, FL 32806-2031 | 2012-12-03 |
| 1376891531 | Crystal Louise Peterson | Student in an Organized Health Care Education/Training Program | 1738 S Tremont St, Oceanside, CA 92054-5309 | 2012-08-20 |
| Street Address |
10113 HIGH EAGLE TRL |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76108-4196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407488364 | Sharvari Patel | Physical Therapist | 800 Jim Wright Fwy Bldg #2, Fort Worth, TX 76108 | 2020-02-09 |
| 1053778118 | Texas Prosmiles Pllc | Dentist | 9400 Clifford Street, Ste 110, Fort Worth, TX 76108 | 2016-01-20 |
| 1609275981 | Palo Pinto County Hospital District | Skilled Nursing Facility | 7820 Sklyline Park Drive, White Settlement, TX 76108 | 2014-08-22 |
| 1508274895 | Tbhh Investments LLC | Home Health | 403 S Jim Wright Fwy, Ste 160, White Settlement, TX 76108 | 2014-07-30 |
| 1366854267 | Alex Bonnette | Physical Therapist | 9660 Bartlett Cir Ste 708, Fort Worth, TX 76108 | 2014-05-27 |
| 1598196446 | Cheryl Dawn Jorgenson | Pharmacist | 401 South Jim Wright Freeway, Suite 102, Fort Worth, TX 76108 | 2013-12-03 |
| 1760700017 | North Texas Ems | Ambulance | 321 Mesa Grande Dr, Fort Worth, TX 76108 | 2010-05-12 |
| 1801036868 | Gary Don Keel | Physician Assistant | #1 Lockheed Blvd., Lockheed Martin Aeronautics Company, Ft. Worth, TX 76108 | 2009-03-03 |
| 1942420211 | Tina Mclendon | Specialist/Technologist, Other | 332 Memory Dr, Fort Worth, TX 76108 | 2007-04-27 |
| 1700901766 | Jennifer E Gamez | Nurse Practitioner | 12001 S. Freeway Suite 205, Burleson, TX 76108 | 2007-03-20 |
| Find all providers in zip 76108 | ||||
| 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 |
|---|---|---|---|---|
| 1194326157 | Phillip Alexander Smith | Pharmacist | 5261 Smokey Ridge Dr, Fort Worth, TX 76123-2896 | 2020-11-05 |
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1174124655 | Benjamin N Quaye | Pharmacist | 11436 Sorano Way Apt 17104, Fort Worth, TX 76244-1575 | 2020-11-02 |
| 1194325795 | Mai Hanh Dang | Pharmacist | 7557 Sienna Ridge Ln, Fort Worth, TX 76131-5119 | 2020-11-01 |
| 1306446521 | Shellie Woody Lindley | Pharmacist | 500 Throckmorton St Apt 2109, Fort Worth, TX 76102-3808 | 2020-10-27 |
| 1659988186 | Mckenzie Crockett | Pharmacist | 8600 Camp Bowie W Blvd, Fort Worth, TX 76116-6102 | 2020-09-29 |
| 1033729942 | Jamie Cheatheam | Pharmacist | 1225 Nighthawk Rd, Fort Worth, TX 76108-6988 | 2020-08-05 |
| 1598373334 | Henry Ngoc Nguyen | Pharmacist | 3100 S Hulen St, Fort Worth, TX 76109-1925 | 2020-07-17 |
| 1760007744 | Roy Nwakamma | Pharmacist | 4501 E Lancaster Ave # 105, Fort Worth, TX 76103-3210 | 2020-06-15 |
| 1265055107 | Priyank Patel | Pharmacist | 5317 Summer Meadows Dr, Fort Worth, TX 76123-1975 | 2020-05-27 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76108 |
Please comment or provide details below to improve the information on CRYSTAL PETERSON.
| 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.