Crystal M Peebles Vaughan

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202009764 Issued in VA

Practice address

11301 Midlothian Tpke
North Chesterfield, VA 23235-4715

Phone

(804) 897-5245

Fax

(804) 893-8392

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Crystal Michelle Peebles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1538762190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354715",
            "telephone_number": "804-897-5245",
            "fax_number": "804-893-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 MIDLOTHIAN TPKE",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354715",
            "telephone_number": "804-897-5245",
            "fax_number": "804-893-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "CRYSTAL",
        "middle_name": "M PEEBLES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "PEEBLES",
            "middle_name": "MICHELLE",
            "credential": "PHARMACIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kim T Van
• Andrea Lynn Vanscoik, RD, CDCES
• Mary Tabitha Varney, LPC
• Hanna A Varno, DDS
• Citlali E Vasquez, BSN, RN
• Enchanta Vaughn, LMHPR
• Ariana Celeste Vazquez Ortiz
• Katherine Veasey, LCSW
• Anna Vedina, MD
• Vernon J Harris East End Community Health Center (Capital Area Health Network - Bermuda Medical Center)

• Pharmacist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.