Kathryn Anderson Peacock, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42118 Issued in SC

Practice address

307 N Broad St
Clinton, SC 29325-2305

Phone

(864) 938-3933

NPI assigned

Jul 22, 2019

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

• Dr. Kathryn Nicole Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Med Mart Weco LLC

  • Long Term Care Pharmacy
  • West Columbia, SC
  • NPI 1598579443
  NPD (past)
• Med Mart Weco LLC

  • Community/Retail Pharmacy
  • West Columbia, SC
  • NPI 1598858987

  Pharmacist

  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Anderson, SC
  • NPI 1285674622
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1700439452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 CORTLAND VLY",
            "city": "DUNCAN",
            "state": "SC",
            "postal_code": "293347906",
            "telephone_number": "864-357-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N BROAD ST",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293252305",
            "telephone_number": "864-938-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "KATHRYN",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "ANDERSON",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathy Putman Pasco, FNP-C
• Nancy Patel, DO
• Puja Ashok Patel, DMD
• Jennifer White Patterson, APRN, FNP-BC
• PC Community Care Pharmacy
• Tracy A Pedigo, CRNA
• Jessica Isabella Persaud
• Starlin D. Phelps, MA, CACP
• Kristin Maureen Phillips, FNP-C
• Physical Rehabilitation Group, LLC

• Pharmacist in Clinton, SC
• Providers in Clinton, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.