Active NPI
Charles A Peters, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Kissimmee, FL
National Provider Identifier
1750725909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PS0033850
- Practice address
- 1813 Atwater CT
Kissimmee, FL 34746-3581 - Phone
- (407) 414-9391
- NPI assigned
- Apr 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PS0033850 | FL | Primary |
Addresses
Primary practice location
1813 Atwater CT
Kissimmee, FL 34746-3581
Mailing address
1813 Atwater CT
Kissimmee, FL 34746-3581
Phone (407) 414-9391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PS0033850 | Other | FL | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| PS0033850 | FL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1750725909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 ATWATER CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463581",
"telephone_number": "407-414-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 ATWATER CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347463581",
"telephone_number": "407-414-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "CHARLES",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-18",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "FL",
"license": "PS0033850",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PS0033850",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.