Individual provider Active NPI

Caroline June Peter, R.PH.

  • Pharmacist
  • Liberty, NC
National Provider Identifier
1447445739
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13557 Issued in NC
Practice address
204 Liberty Plaza
West Swannanoa Avenue
Liberty, NC 27298
Phone
(336) 622-1444
Fax
(336) 622-7299
NPI assigned
Sep 10, 2007
Last updated
Jun 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13557 NC Primary

Addresses

Primary practice location

204 Liberty Plaza
West Swannanoa Avenue
Liberty, NC 27298

Mailing address

8430 W Bryn Mawr Ave Ste 1150
Chicago, IL 60631-3473
Phone (847) 588-7170

Other identifiers 1

IdentifierTypeStateIssuer
13557OtherNCLICENSE

Other names 1

  • Ms. Caroline Peter Edwards Former name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
13557NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1447445739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8430 W BRYN MAWR AVE STE 1150",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313473",
            "telephone_number": "847-588-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LIBERTY PLAZA",
            "address_2": "WEST SWANNANOA AVENUE",
            "city": "LIBERTY",
            "state": "NC",
            "postal_code": "27298",
            "telephone_number": "336-622-1444",
            "fax_number": "336-622-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETER",
        "first_name": "CAROLINE",
        "middle_name": "JUNE",
        "name_prefix": "Ms.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "13557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13557",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "EDWARDS",
            "middle_name": "PETER",
            "prefix": "MS.",
            "credential": "R.PH.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Liberty, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.