Active NPI
Charles Curtis Peck, R.PH.
- Pharmacist
- Tipton, PA
National Provider Identifier
1063446664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP030777L
- Practice address
- US Route 220
Tipton, PA 16684 - Phone
- (814) 684-7979
- Fax
- (814) 684-7647
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 8, 2007
- 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 | RP030777L | PA | Primary |
Addresses
Primary practice location
US Route 220
Tipton, PA 16684
Mailing address
302 Oakwood Dr
Philipsburg, PA 16866-8700
Phone (814) 343-4766
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP030777L | PA | MD | Pharmacist |
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, 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": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063446664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 OAKWOOD DR",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168668700",
"telephone_number": "814-343-4766",
"fax_number": "814-343-4754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US ROUTE 220",
"city": "TIPTON",
"state": "PA",
"postal_code": "16684",
"telephone_number": "814-684-7979",
"fax_number": "814-684-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "CHARLES",
"middle_name": "CURTIS",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP030777L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tipton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.