Rebecca Peterman, CPHT

Individual provider Active NPI Pharmacy Technician · Pilot Point, TX

NPI 1225280258 · NPPES record last updated Oct 22, 2008

Key facts

NPI
1225280258
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
102131 (TX)
Practice address
1246 S Highway 377
Ste. 100
Pilot Point, TX 76258-4353
Phone
(940) 686-2218
Fax
(940) 686-9286
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
102131TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
First Lone Star Pharmacy Group IV LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 102131 TX Yes

Addresses

Primary practice location

1246 S Highway 377
Ste. 100
Pilot Point, TX 76258-4353

Mailing address

PO Box 538
403 Elder St
Collinsville, TX 76233-0538
Phone (940) 686-2218

Other providers in Pilot Point, TX

All providers in Pilot Point, TX · Pharmacy Technician in Texas

Sources for this page

Verify at the official NPI Registry.