Active NPI
Jeobu Peter, MPHARM
- Pharmacist
- Gallatin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19981
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 19981 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivcare Infusion LLC | Current | Accepting new patients | |
| Tricare Pharmacy LLC | Current | Accepting new patients | |
| Tricare Pharmacy LLC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Gallatin, TN
- NPI 1699485458
-
dba PrimeCare Pharmacy
- Home Infusion Therapy Pharmacy
- Gallatin, TN
- NPI 1326913872
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
- Garrett Paulson, DC
- PC Enterprises, LLC (Preferred Care at Home of North Nashville, Sumner, and East Wilson)
- Alexandria Peele, M.S., CCC-SLP
- Perkins Greenlea LLC
- Douglas Stewart Perry, MPT
- Irion Ferrymae Peterson, FNP
- Linh Tran Phan, PHARMD
- Lindsay Ann Phillips, RN
- Michael David Phillips, D.O.
- Robert D. Phillips, M.D.
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.