NPIMap

Organization Active NPI

Peace Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Canton, TX
National Provider Identifier
1972589430
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PEACE PHARMACY INC
Practice address
300 S Buffalo
Canton, TX 75103
Phone
(903) 567-4129
Fax
(903) 567-6772
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Ms. Cindy K Troglin
Title
Billing MGR Medicare Medicaid Spe
Phone
(903) 567-4129

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Pharmacy 333600000X 01827 TX

Addresses

Primary practice location

300 S Buffalo
Canton, TX 75103

Mailing address

300 S Buffalo
PO Box 38
Canton, TX 75103
Phone (903) 567-4129

Other identifiers 5

IdentifierTypeStateIssuer
108407104MedicaidTX
108407105MedicaidTX
108407101MedicaidTX
108407102MedicaidTX
108407103MedicaidTX

National Provider Directory

National Provider Directory

Locations

300 S Buffalo St
Canton, TX 75103
Phone (903) 567-4129

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1972589430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BUFFALO",
            "address_2": "PO BOX 38",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "telephone_number": "903-567-4129",
            "fax_number": "903-567-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S BUFFALO",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "telephone_number": "903-567-4129",
            "fax_number": "903-567-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "TROGLIN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BILLING MGR  MEDICARE MEDICAID SPE",
        "authorized_official_telephone_number": "903-567-4129",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "01827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108407104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108407105",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108407101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108407102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108407103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, TX

Sources for this page

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