MR. DOUGLAS GENE PETTY RPH NPI 1083672810

NPI Information

  • NPI: 1083672810
  • Provider Name: MR. DOUGLAS GENE PETTY, RPH
  • Classification: Pharmacist - 183500000X
  • Entity Type: Individual
  • Address: 500 N BALTIMORE ST
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (660) 665-7400

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NPI Details

MR. Douglas Gene Petty, RPH is a pharmacist in Kirksville, MO. The provider is 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. MR. Douglas Gene Petty, RPH NPI is 1083672810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

500 N BALTIMORE ST
KIRKSVILLE, MO
ZIP 63501-214
Phone: (660) 665-7400

The enumeration date for this NPI number is 5/2/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist043669MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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