Kikelomo Peters, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

45723 Issued in TX

Practice address

4107 Crosspoint Blvd Ste B
Edinburg, TX 78539-1805

Phone

(832) 277-0370

Fax

(956) 292-0416

NPI assigned

Oct 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Quick Penny Investments, LLC

  • Community/Retail Pharmacy
  • Edinburg, TX
  • NPI 1255612776
  NPD Authorized official

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1215535448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 CROSSPOINT BLVD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391805",
            "telephone_number": "832-419-3267",
            "fax_number": "956-292-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 CROSSPOINT BLVD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391805",
            "telephone_number": "832-277-0370",
            "fax_number": "956-292-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KIKELOMO",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "45723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.jacksonparkpharmacyrx.com",
            "affiliation": "N",
            "endpointDescription": "work number",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4107 Crosspoint Blvd Ste B",
            "city": "Edinburg",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785391805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Perkins, PHARMD
• Perla Flor Guzman D/B/a Paraiso de Angeles Adult Day Care
• Harlan Ray Perryman, LVN
• Axa Perumpalath, NP
• Pedro Pestana Jr., CRNA
• Miguel Angel Petrozzi, M.D., P.A.
• Henrietta J Peynado, MSN,RN,FNP-BC,OCN
• Xuan-Hoai DO Pham
• Kevin Phan
• Thuthao Phan

• Pharmacist in Edinburg, TX
• Providers in Edinburg, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.