Individual provider Active NPI

Austin M Peavy, PHARMD

  • Pharmacist
  • Alexandria, LA
National Provider Identifier
1891463592
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PST.023987 Issued in LA
Practice address
4116 Jackson St
Alexandria, LA 71303-2752
Phone
(318) 769-0148
Fax
(844) 601-3285
NPI assigned
Aug 30, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PST.023987 LA Primary

Addresses

Primary practice location

4116 Jackson St
Alexandria, LA 71303-2752

Mailing address

4116 Jackson St
Alexandria, LA 71303-2752
Phone (318) 769-0148

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
PST.023987LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Corner Drug and Wellness CurrentSince Dec 14, 2025 Accepting new patients
Mitchells Pharmacy Inc PastSince Sep 1, 2021 Accepting new patients
Mitchells Pharmacy Inc PastSince Sep 1, 2021 Accepting new patients
Louisiana CVS Pharmacy LLC PastSince Sep 11, 2022 Accepting new patients
Louisiana CVS Pharmacy, L.L.C. PastSince Sep 11, 2022 Accepting new patients

Locations

4116 Jackson St
Alexandria, LA 71303
Phone (318) 709-8262

Organizations & group practices 5

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1891463592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4116 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032752",
            "telephone_number": "318-769-0148",
            "fax_number": "844-601-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4116 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032752",
            "telephone_number": "318-769-0148",
            "fax_number": "844-601-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "AUSTIN",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.023987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.