Active NPI
Peggy Steele Moody, RPH
- Pharmacist
- Beattyville, KY
National Provider Identifier
1588877872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010006
- Practice address
- 1031 Grand Ave
Beattyville, KY 41311 - Phone
- (606) 464-3396
- Fax
- (606) 464-0558
- NPI assigned
- May 7, 2007
- Last updated
- Nov 18, 2014
- 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 | 010006 | KY | Primary |
Addresses
Primary practice location
1031 Grand Ave
Beattyville, KY 41311
Mailing address
1219 Long Branch Rd
Beattyville, KY 41311-8595
Phone (606) 464-8894
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010006 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan Drug, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416268800000",
"number": "1588877872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1219 LONG BRANCH RD",
"city": "BEATTYVILLE",
"state": "KY",
"postal_code": "413118595",
"telephone_number": "606-464-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 GRAND AVE",
"city": "BEATTYVILLE",
"state": "KY",
"postal_code": "41311",
"telephone_number": "606-464-3396",
"fax_number": "606-464-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOODY",
"first_name": "PEGGY",
"middle_name": "STEELE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2014-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beattyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.