Avon Jackson Peacock, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS0016928 Issued in FL

Practice address

205 W Alexander St
Plant City, FL 33563-7158

Phone

(813) 754-9449

Fax

(813) 719-7902

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275664807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 CHITTY RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655500",
            "telephone_number": "813-754-3053",
            "fax_number": "813-719-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W ALEXANDER ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335637158",
            "telephone_number": "813-754-9449",
            "fax_number": "813-719-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "AVON",
        "middle_name": "JACKSON",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0016928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krupa Patel
• Nayankumar Rameshbhai Patel, MD
• Priya Patel, PHARMD
• Patty's House 3 LLC
• Rachael Pavone, FNP-C
• Pediatrix Medical Group of Florida Inc
• Pediatrix Medical Group of Florida, Inc
• Johanna Pedraza, ARNP
• Peggy Joyce Hargrove (Joyce Love & Care Home Inc.)
• Alba M Pena

• Pharmacist in Plant City, FL
• Providers in Plant City, FL by specialty
• Pharmacist in Florida

• 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.

Verify at the official NPI Registry.