Clayton Reed Peevey

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PD11155 Issued in AR

Practice address

1725 S Caraway Rd
Jonesboro, AR 72401-5202

Phone

(870) 972-4739

Fax

(870) 268-2172

NPI assigned

Dec 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Jonesboro, AR
  • NPI 1235163080
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1346888633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 BOLT BLVD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724058029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S CARAWAY RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724015202",
            "telephone_number": "870-972-4739",
            "fax_number": "870-268-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEVEY",
        "first_name": "CLAYTON",
        "middle_name": "REED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AR",
            "license": "PD11155",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Therapy Solutions LLC
• Julie F Peek, LPN
• Marti Louann Peel, MHPP
• Maya Devin Peel, D.D.S.
• Alicia D Peeler-Turner, LAC
• Paige Peirpoint
• Pelvic Floor and Core Physical Therapy of Jonesboro LLC
• Amanda Pemberton
• Nancy Pemberton, APRN
• Lexi Pendergrass

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.