Individual provider Active NPI

Hannah Ford Peterson, PHARM D

  • Pharmacist
  • Nacogdoches, TX
National Provider Identifier
1871156844
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
57031 Issued in TX
Practice address
917 E Austin St
Nacogdoches, TX 75965-2845
Phone
(936) 564-7373
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 57031 TX Primary

Addresses

Primary practice location

917 E Austin St
Nacogdoches, TX 75965-2845

Mailing address

917 E Austin St
Nacogdoches, TX 75965-2845
Phone (936) 564-7373

Other identifiers 1

IdentifierTypeStateIssuer
1679642250OtherTXM&S PHARMACY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hannah@mandspharmacy.com Direct M & S Pharmacy, Inc.

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

LicenseStateTypeSpecialty
57031TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
M & S Pharmacy, Inc. Past Accepting new patients
M & S Pharmacy, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1871156844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 E AUSTIN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652845",
            "telephone_number": "936-564-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 E AUSTIN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652845",
            "telephone_number": "936-564-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "HANNAH",
        "middle_name": "FORD",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "57031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M&S PHARMACY",
            "identifier": "1679642250",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hannah@mandspharmacy.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "M & S Pharmacy, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "917 E Austin St",
            "city": "Nacogdoches",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759652845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.