CRYSTAL PETERSON
NPI 1619344611
Pharmacist in Fort Worth, TX

Active since August 25, 2015
10113 HIGH EAGLE TRL, FORT WORTH, TX 76108(817) 235-0495 Get Directions Write a Review

NPPES record last updated: August 25, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Crystal Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL PETERSON (NPI 1619344611) is an individual pharmacist in Fort Worth, Texas, licensed in Texas (57255) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1619344611
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameCRYSTAL PETERSON
Location Address10113 HIGH EAGLE TRLFort Worth, TX 76108-4196
Mailing Address10113 High Eagle TrlFort Worth, TX 76108-4196 · (817) 235-0495
Sole ProprietorYes
Enumeration DateAugust 25, 2015
NPI 1619344611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TX · 57255
Definition

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.

10113 HIGH EAGLE TRL, Fort Worth, TX 76108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Peterson's NPI number?

The NPI number for Crystal Peterson is 1619344611. It was assigned to this individual provider in the NPPES registry on August 25, 2015.

Where is Crystal Peterson located?

Crystal Peterson practices at 10113 High Eagle Trl, Fort Worth, TX 76108. The listed phone number is (817) 235-0495.

What is Crystal Peterson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Crystal Peterson was last updated on August 25, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.