Rebecca Elizabeth Pegues, PHARMACY TECH

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

2301-0102-0754-276 Issued in TX

Practice address

1469 W State Highway 114
Suite # 598
Grapevine, TX 76051-8625

Phone

(817) 571-8745

NPI assigned

Mar 19, 2007

Last updated

Jan 10, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1861516205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 RANDY RD",
            "city": "ROANOKE",
            "state": "TX",
            "postal_code": "762626149",
            "telephone_number": "817-807-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 W STATE HIGHWAY 114",
            "address_2": "SUITE # 598",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518625",
            "telephone_number": "817-571-8745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEGUES",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PHARMACY TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "2301-0102-0754-276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dermatology of No. TX (Fred E Ghali, MD)
• Pediatric Ophthalmology PA
• Pediatric Sports and Spine Associates
• Pediatric Theraplay Inc
• Amber Peek
• Carmen Loren Pemberton, NP
• Ismail S Penukonda, MD
• Richard Perez, D.D.S.
• Perimeter Outpatient Services, LLC
• Perinatal Medicine Associates, LLP

• Pharmacy Technician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.