Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003403775 Individual Practitioner Male Practitioner

Dr. Nicholas Petty , PharmD

Pharmacist • North Port, FL

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Petty, PharmD is a registered healthcare professional specializing in Pharmacist in North Port, FL. Practice services are available at 15180 TAMIAMI TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15180 Tamiami Trl

North Port, FL 342872742

Telephone 9414236700
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1992710164

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in North Port, FL

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

Practicing in North Port, 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

CMS Verified: 2020-12-28
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License FL PS58943

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist License
PS58943 (FL)

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1083983258

Doctor of Pharmacy (Pharm.D.)

NPI 1326329863

Doctor of Pharmacy (Pharm.D.)

NPI 1336418284
Andrea Lukach

Pharmacist

NPI 1609191527
NPI 1679186233

Doctor of Pharmacy (Pharm.D.)

NPI 1790603215

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2020

Registered at 15180 TAMIAMI TRL, NORTH PORT, FL 342872742 (Tel: 9414236700)

📍
Updated Business Mailing Address December 28, 2020

Registered at 5081 WINTER ROSE WAY, VENICE, FL 342938213 (Tel: 9706850407)

👤
Provider Name / Credentials Updated December 28, 2020

Recorded as NICHOLAS PETTY, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2020

Pharmacist (License #PS58943 in FL)

🟢
Initial NPI Registration & Enumeration December 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003403775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2020
Last Update: December 28, 2020
Sole Proprietor: No

Mailing Address

5081 Winter Rose Way

Venice, FL 342938213

Phone: 9706850407

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.