Individual provider Active NPI

Sylvia Peterson

  • Pharmacist
  • Bellaire, TX
National Provider Identifier
1043966435
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18686 Issued in TX
Practice address
5202 Bissonnet St # B
Bellaire, TX 77401-3910
Phone
(281) 893-6000
Fax
(281) 893-6001
NPI assigned
Feb 24, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 18686 TX Primary

Addresses

Primary practice location

5202 Bissonnet St # B
Bellaire, TX 77401-3910

Mailing address

5202 Bissonnet St # B
Bellaire, TX 77401-3910
Phone (281) 893-6000

Other identifiers 1

IdentifierTypeStateIssuer
18686OtherTXTEXAS STATE BOARD OF PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HOUSTON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18686TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Aaark Group Inc CurrentSince Feb 27, 2022 Accepting new patients

Locations

5202 Bissonnet St
#B
Bellaire, TX 77401
Phone (281) 893-6000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1043966435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5202 BISSONNET ST # B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013910",
            "telephone_number": "281-893-6000",
            "fax_number": "281-893-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5202 BISSONNET ST # B",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013910",
            "telephone_number": "281-893-6000",
            "fax_number": "281-893-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SYLVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "18686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "18686",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HOUSTON",
            "affiliation": "N",
            "address_1": "5202 Bissonnet St # B",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774013910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.