Provider Demographics
NPI:1568715969
Name:PEEBLES, JOHN FRANCIS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANCIS
Last Name:PEEBLES
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10412 US ROUTE 11
Mailing Address - Street 2:APT #1
Mailing Address - City:ADAMS
Mailing Address - State:NY
Mailing Address - Zip Code:13605-4111
Mailing Address - Country:US
Mailing Address - Phone:315-778-8190
Mailing Address - Fax:
Practice Address - Street 1:10412 US ROUTE 11
Practice Address - Street 2:APT #1
Practice Address - City:ADAMS
Practice Address - State:NY
Practice Address - Zip Code:13605-4111
Practice Address - Country:US
Practice Address - Phone:315-778-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037813183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist