CLARENCE E. PEACOCK RPH – NPI #1255689154
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.

CLARENCE PEACOCK is a pharmacist located in LYMAN, SC. NPPES has assigned the NPI number 1255689154 to CLARENCE PEACOCK on August 27, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLARENCE PEACOCK below.

NPI Profile for
CLARENCE E. PEACOCK

NPI Number
1255689154
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CLARENCE E. PEACOCK
Credentials
RPH
Primary location
101 LOCUST ST
LYMAN, SC 29365-1503
Phone: (864) 439-1040 Fax: (864) 949-0461
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for CLARENCE PEACOCK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERSOUTH CAROLINA LICENSE #3631SC3631
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
SC 3631

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.