Individual provider Active NPI

Peter C Allegre, RPH

  • Pharmacist
  • Lebo, KS
National Provider Identifier
1710471990
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-10176 Issued in KS
Practice address
6 W Broadway St
Lebo, KS 66856-9709
Phone
(620) 256-6122
Fax
(620) 256-6117
NPI assigned
Jun 20, 2018
Last updated
Jun 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-10176 KS Primary

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

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

LicenseStateTypeSpecialty
1-10176KSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Pharmacy, Inc. Past Accepting new patients
Auburn Pharmacy, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1710471990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "LEBO",
            "state": "KS",
            "postal_code": "668560025",
            "telephone_number": "620-256-6122",
            "fax_number": "620-256-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 W BROADWAY ST",
            "city": "LEBO",
            "state": "KS",
            "postal_code": "668569709",
            "telephone_number": "620-256-6122",
            "fax_number": "620-256-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEGRE",
        "first_name": "PETER",
        "middle_name": "C",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebo, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.