Individual provider Active NPI

Jeobu Peter, MPHARM

  • Pharmacist
  • Gallatin, TN
National Provider Identifier
1942581053
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19981 Issued in MD
Practice address
710 Nashville Pike Ste 101
Gallatin, TN 37066-4592
Phone
(615) 461-7078
NPI assigned
Sep 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19981 MD Primary

Addresses

Primary practice location

710 Nashville Pike Ste 101
Gallatin, TN 37066-4592

Mailing address

710 Nashville Pike Ste 101
Gallatin, TN 37066-4592
Phone (615) 461-7078

Other practice location 1

30283 Triangle Dr
Charlotte Hall, MD 20622-3125
Phone (301) 472-1825 ext. 8

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

State licenses

LicenseStateTypeSpecialty
19981MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivcare Infusion LLC Current Accepting new patients
Tricare Pharmacy LLC CurrentSince Dec 6, 2022 Accepting new patients
Tricare Pharmacy LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

710 Nashville Pike
Ste 101
Gallatin, TN 37066
Phone (615) 461-7078

179 Hancock St
Ste 301
Gallatin, TN 37066
Phone (615) 461-7078

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": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1942581053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 NASHVILLE PIKE STE 101",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664592",
            "telephone_number": "615-461-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 NASHVILLE PIKE STE 101",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370664592",
            "telephone_number": "615-461-7078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30283 Triangle Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte Hall",
            "state": "MD",
            "postal_code": "206223125",
            "country_code": "US",
            "telephone_number": "301-472-1825 x8",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETER",
        "first_name": "JEOBU",
        "credential": "MPHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.