Nicholas Petty, PHARMD

Pharmacist · North Port, FL

Individual Active NPI

NPI number 1003403775

Practice location

15180 Tamiami Trl
North Port, FL 34287-2742
Phone
(941) 423-6700

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NPI record

NPI
1003403775
Entity type
Individual (Type 1)
Enumeration date
December 28, 2020
Last updated
December 28, 2020
Certified
December 28, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X PS58943 FL

Mailing address

5081 Winter Rose Way
Venice, FL 34293-8213
Phone
(970) 685-0407

About Dr. Petty

Nicholas Petty, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 15180 Tamiami Trl, North Port, FL 34287-2742. The NPI number 1003403775 was assigned on December 28, 2020 and the record was last updated on December 28, 2020.

Dr. Petty lists a license in the registry: #PS58943 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas Petty, PHARMD?

The NPI number is 1003403775.

What is the phone number of Dr. Petty?

The phone number listed for the practice location is (941) 423-6700.

Where is Dr. Petty located?

15180 Tamiami Trl, North Port, FL 34287-2742.

What is the taxonomy code for Dr. Petty?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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