Active NPI
Peyton Buckner
- Pharmacist
- Mount Juliet, TN
National Provider Identifier
1063130623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46645
- Practice address
- 11185 Lebanon Rd
Mt Juliet, TN 37122-5542 - Phone
- (615) 773-4034
- NPI assigned
- Aug 19, 2022
- Last updated
- Aug 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46645 | TN | Primary |
Addresses
Primary practice location
11185 Lebanon Rd
Mt Juliet, TN 37122-5542
Mailing address
11185 Lebanon Rd
Mt Juliet, TN 37122-5542
Phone (615) 773-4034
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
| License | State | Type | Specialty |
|---|---|---|---|
| 46645 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1063130623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11185 LEBANON RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371225542",
"telephone_number": "615-773-4034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11185 LEBANON RD",
"city": "MT JULIET",
"state": "TN",
"postal_code": "371225542",
"telephone_number": "615-773-4034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "PEYTON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "46645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.