Peter C Allegre, RPH
Individual provider Active NPI Pharmacist · Lebo, KS
NPI 1710471990 · NPPES record last updated Jun 20, 2018
Key facts
- NPI
- 1710471990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-10176 (KS)
- Practice address
- 6 W Broadway St
Lebo, KS 66856-9709 - Phone
- (620) 256-6122
- Fax
- (620) 256-6117
- NPI assigned
- Jun 20, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-10176 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Auburn Pharmacy, Inc. | Past | Accepting new patients | |
| Auburn Pharmacy, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-10176 | KS | Yes |
Addresses
Primary practice location
6 W Broadway St
Lebo, KS 66856-9709
Mailing address
PO Box 25
Lebo, KS 66856-0025
Phone (620) 256-6122
Other providers in Lebo, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.