Mark Frederick Peippo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

30883 Issued in TX

Practice address

563 W FM 120
Pottsboro, TX 75076-9039

Phone

(903) 786-2006

Fax

(903) 355-2361

NPI assigned

Apr 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Pharmacist

Practice roles

Locations

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.

• Banp Enterprises LLC

  • Community/Retail Pharmacy
  • Pottsboro, TX
  • NPI 1679889992
  NPD Authorized official
• Family Pharmacy of Pottsboro

  • Community/Retail Pharmacy
  • Pottsboro, TX
  • NPI 1578659314
  NPD (past)

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1639597206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 W FM 120",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750769039",
            "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": "563 W FM 120",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750769039",
            "telephone_number": "903-786-2006",
            "fax_number": "903-355-2361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIPPO",
        "first_name": "MARK",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "30883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146257",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Eileen Lohman, MSW
• Amanda Rian McDaniels
• Sarah Beth Morris, RN, CWD
• Susan Renee Morrison-Peippo, PHARMD
• Jessica Morrow, LVN
• Premier Credentialing LLC
• Premier Credentialing LLC
• Preston Volunteer Emergency Service, Inc
• Stephen Reed
• Reliant Medgroup, Inc.

• Pharmacist in Pottsboro, TX
• Providers in Pottsboro, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.