Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871877373 Individual Practitioner Male Practitioner

Kenneth C Petta , RPH

Pharmacist • Troup, TX

Professional Overview & Biography Verified Profile Summary

Kenneth Petta, RPH is a registered healthcare professional specializing in Pharmacist in Troup, TX. Practice services are available at 53 W TWIN CREEKS TRL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

53 W Twin Creeks Trl

Troup, TX 757896702

Telephone 9038424209

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Troup, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Troup, TX (18958 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 TX 29476

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 03, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2011

Registered at 53 W TWIN CREEKS TRL, TROUP, TX 757896702 (Tel: 9038424209)

📍
Updated Business Mailing Address October 03, 2011

Registered at 53 W TWIN CREEKS TRL, TROUP, TX 757896702 (Tel: 9038424209)

👤
Provider Name / Credentials Updated October 03, 2011

Recorded as KENNETH PETTA, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2011

Pharmacist (License #29476 in TX)

🟢
Initial NPI Registration & Enumeration October 03, 2011

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: 1871877373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2011
Last Update: October 03, 2011
Sole Proprietor: Yes

Mailing Address

53 W Twin Creeks Trl

Troup, TX 757896702

Phone: 9038424209

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.