Active NPI
Angela Rose Peightal, PHARMD
- Pharmacist
- Mauldin, SC
National Provider Identifier
1649611518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12219
- Practice address
- 315 W Butler Rd
Mauldin, SC 29662-2531 - Phone
- (864) 288-1847
- NPI assigned
- Jul 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19650 | MD | |
| Pharmacist | 183500000X | 12219 | SC | Primary |
Addresses
Primary practice location
315 W Butler Rd
Mauldin, SC 29662-2531
Mailing address
315 W Butler Rd
Mauldin, SC 29662-2531
Phone (864) 288-1847
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12219 | Other | SC | STATE PHARMACIST LICENSE NUMBER |
| 19650 | Other | MD | PHARMACIST STATE LICENSE NUMBER |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19650 | MD | MD | Pharmacist |
| 12219 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1649611518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 W BUTLER RD",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296622531",
"telephone_number": "864-288-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W BUTLER RD",
"city": "MAULDIN",
"state": "SC",
"postal_code": "296622531",
"telephone_number": "864-288-1847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEIGHTAL",
"first_name": "ANGELA",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-08",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "19650",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE NUMBER",
"identifier": "12219",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST STATE LICENSE NUMBER",
"identifier": "19650",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mauldin, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.