Active NPI
Nicholas David Peters, PHARM.D.
- Pharmacist
- Covington, GA
National Provider Identifier
1154442994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH021686
- Practice address
- 3215 Highway 278 NW
Covington, GA 30014-2202 - Phone
- (770) 786-1131
- Fax
- (770) 786-6727
- NPI assigned
- Apr 2, 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 | RPH021686 | GA | Primary |
Addresses
Primary practice location
3215 Highway 278 NW
Covington, GA 30014-2202
Mailing address
492 Branham Cir
Social Circle, GA 30025-2911
Phone (770) 464-0388
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH021686 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154442994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 BRANHAM CIR",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300252911",
"telephone_number": "770-464-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 HIGHWAY 278 NW",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300142202",
"telephone_number": "770-786-1131",
"fax_number": "770-786-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "NICHOLAS",
"middle_name": "DAVID",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH021686",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
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.