JERRY WAYNE PEACOCK RPH
NPI 1659655330
Pharmacist in Springfield, MO

Active since September 29, 2011
2681 W REPUBLIC RD, SPRINGFIELD, MO 65807(417) 877-8540(417) 877-8541 Get Directions Write a Review

NPPES record last updated: September 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerry Wayne Peacock Rph NPPES

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

JERRY WAYNE PEACOCK RPH (NPI 1659655330) is an individual pharmacist in Springfield, Missouri, licensed in Missouri (27824) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1659655330
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJERRY WAYNE PEACOCKCredential: RPH
Location Address2681 W REPUBLIC RDSpringfield, MO 65807-4006
Mailing Address2681 W Republic RdSpringfield, MO 65807-4006 · (417) 877-8540 · Fax (417) 877-8541
Fax(417) 877-8541
Sole ProprietorYes
Enumeration DateSeptember 29, 2011
NPI 1659655330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 27824
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.
2681 W REPUBLIC RD, Springfield, MO 65807

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
2681 W REPUBLIC RD
SPRINGFIELD, MO 65807
Pharmacist
2681 W REPUBLIC RD
SPRINGFIELD, MO 65807
Pharmacist
2681 W REPUBLIC RD
SPRINGFIELD, MO 65807
Pharmacy
2681 W REPUBLIC RD
SPRINGFIELD, MO 65807
Pharmacist
2681 W REPUBLIC RD
SPRINGFIELD, MO 65807

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 Jerry Peacock's NPI number?

The NPI number for Jerry Peacock is 1659655330. It was assigned to this individual provider in the NPPES registry on September 29, 2011.

Where is Jerry Peacock located?

Jerry Peacock practices at 2681 W Republic Rd, Springfield, MO 65807. The listed phone number is (417) 877-8540.

What is Jerry Peacock'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 Jerry Peacock was last updated on September 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.