DR. CRYSTAL PETERS (NPI# 1417569369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417569369 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL PETERS |
| Credential | PHARMD |
| Practice Address |
3177 S Perkins Rd Memphis TN 38118-4354 |
| Practice Telephone | 9013654440 |
| Practice Fax Number | 9013651251 |
| Mailing Telephone | 9013654440 |
| Mailing Fax Number | 9013651251 |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 40375 | TN | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1424 Union Ave, Memphis, TN 381043625 | 9017257828 | 9017257920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548738297 | Crystal Marie Peters | Nurse Practitioner | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2018-11-09 |
| Street Address |
3177 S PERKINS RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-4354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437164530 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3177 S Perkins Rd, Memphis, TN 38118-4354 | 2006-07-29 |
| 1164035556 | Trenavia Monique Ashley-louis | Pharmacist | 3177 S Perkins Rd, Memphis, TN 38118-4354 | 2020-08-26 |
| 1861775488 | Tanya Passarella Sandy | Pharmacist | 3177 S Perkins Rd, Memphis, TN 38118-4354 | 2011-09-20 |
| 1184906877 | April Shannon Rice | Pharmacist | 3177 S Perkins Rd, Memphis, TN 38118-4354 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497366678 | Punam Patel | Pharmacist | 3075 Lamar Ave, Memphis, TN 38114-6440 | 2020-08-12 |
| 1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
| 1952935322 | Madison Ann Williams | Pharmacist | 1680 Century Center Pkwy Ste 15, Memphis, TN 38134-8827 | 2020-02-25 |
| 1558900290 | Jiderechukwu Ugonna Anyigbo | Pharmacist | 232 Keel Ave, Memphis, TN 38107-3736 | 2019-12-28 |
| 1740823525 | Erica Danielle Washington | Pharmacist | 6025 Walnut Grove Rd Ste 108, Memphis, TN 38120-2116 | 2019-10-23 |
| 1356983308 | Olivia Brooks Wingate | Pharmacist | 8700 W Trail Lake Dr Ste 205, Memphis, TN 38125-8205 | 2019-10-11 |
| 1891266201 | Sara Smigielski | Pharmacist | 5219 Sequoia Ave, Memphis, TN 38120-1544 | 2018-12-10 |
| 1104393313 | Christine Ven Handy | Pharmacist | 4667 Flamingo Rd, Memphis, TN 38117-6111 | 2018-10-25 |
| 1821595026 | Alan Carter | Pharmacist | 5293 Elvis Presley Blvd, Memphis, TN 38116-8233 | 2018-04-12 |
| 1104364728 | Heather Mullins | Pharmacist | 6949 Appling Farms Pkwy Ste 109, Memphis, TN 38133-4731 | 2017-02-02 |
| Find all providers in MEMPHIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.