Active NPI
Bryce Virginia Peebles
- Pharmacist
- Cornelius, NC
National Provider Identifier
1548811151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29015
- Practice address
- 20929 Sterling Bay LN E Apt K
Cornelius, NC 28031-4924 - Phone
- (540) 460-3442
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 29015 | NC | Primary |
Addresses
Primary practice location
20929 Sterling Bay LN E Apt K
Cornelius, NC 28031-4924
Mailing address
20929 Sterling Bay LN E Apt K
Cornelius, NC 28031-4924
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29015 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1548811151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20929 STERLING BAY LN E APT K",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20929 STERLING BAY LN E APT K",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280314924",
"telephone_number": "540-460-3442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEEBLES",
"first_name": "BRYCE",
"middle_name": "VIRGINIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-25",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.