Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry Wayne Peacock, RPH

Individual provider Pharmacist · NPI 1659655330

Jerry Wayne Peacock, RPH is a Pharmacist in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2681 W Republic Rd
Springfield, MO 65807-4006
Phone: (417) 877-8540
Fax: (417) 877-8541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 27824 (MO)

Record details

NPI number1659655330
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedSeptember 29, 2011
Last updated in NPPESSeptember 29, 2011
Mailing address2681 W Republic Rd, Springfield, MO 65807-4006

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