Active NPI
Susan Renee Morrison-Peippo, PHARMD
- Pharmacist
- Pottsboro, TX
National Provider Identifier
1356908164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35516
- Practice address
- 111 E Hwy 120 Ste 101
Pottsboro, TX 75076-7801 - Phone
- (903) 786-2006
- Fax
- (903) 355-2361
- NPI assigned
- May 28, 2019
- Sex
- Female
- 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 | 35516 | TX | Primary |
Addresses
Primary practice location
111 E Hwy 120 Ste 101
Pottsboro, TX 75076-7801
Mailing address
111 E Hwy 120 Ste 101
Pottsboro, TX 75076-7801
Phone (903) 786-2006
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 |
|---|---|---|---|
| 35516 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banp Enterprises LLC | Current | Accepting new patients | |
| Family Pharmacy of Pottsboro | Past | Accepting new patients |
Locations
111 E Highway 120
Ste 101
Pottsboro, TX 75076
Phone (903) 786-2006
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Pottsboro, TX
- NPI 1679889992
-
- Community/Retail Pharmacy
- Pottsboro, TX
- NPI 1578659314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1356908164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E HWY 120 STE 101",
"city": "POTTSBORO",
"state": "TX",
"postal_code": "750767801",
"telephone_number": "903-786-2006",
"fax_number": "903-355-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E HWY 120 STE 101",
"city": "POTTSBORO",
"state": "TX",
"postal_code": "750767801",
"telephone_number": "903-786-2006",
"fax_number": "903-355-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRISON-PEIPPO",
"first_name": "SUSAN",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "35516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pottsboro, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.