Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1376645648 Deactivated / Inactive NPI Male Practitioner

Wilburn Hiram Peacock , RPH

Pharmacist • Perry, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Wilburn Peacock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 05, 2006
NPI Deactivation Date October 28, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

Wilburn Peacock, RPH was a registered Pharmacist practicing in Perry, FL. Throughout an active medical career spanning 15 years, Wilburn Peacock provided care at the practice location at 2057 W BYRON BUTLER PKWY until profile deactivation on 2021-10-28.

Practice Location & Contact Primary Location

Practice Address

2057 W Byron Butler Pkwy

Perry, FL 32348

Telephone 8505845616
Fax 8505845628

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Perry, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Perry, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS0011196

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1922309715

Registered Pharmacist

NPI 1932202272

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated October 28, 2021

Record deactivated on October 28, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2057 W BYRON BUTLER PKWY, PERRY, FL 32348 (Tel: 8505845616)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2654 GLOVER CARLTON RD, PERRY, FL 323487637 (Tel: 8505844554)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as WILBURN PEACOCK, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #PS0011196 in FL)

🟢
Initial NPI Registration & Enumeration September 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Wilburn Peacock. Be the first to share your experience!

Sign in to leave a review for Wilburn Peacock

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1376645648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2006
Last Update: July 08, 2007
Deactivation Date: October 28, 2021

Mailing Address

2654 Glover Carlton Rd

Perry, FL 323487637

Phone: 8505844554

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.