MISS RICHARD W PETTY (NPI# 1497745038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497745038 |
| Entity Type | Individual |
| Full Name | MISS RICHARD W PETTY |
| Credential | RPH |
| Practice Address |
1525 Broadway St Suite 100 Alexandria MN 56308-2537 |
| Practice Telephone | 3207633146 |
| Practice Fax Number | 3207637231 |
| Mailing Telephone | 3207633146 |
| Mailing Fax Number | 3207637231 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 111895-9 | MN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673633 | Richard Joshua Petty | Specialist/Technologist | 211 Brown Rd, Dubach, LA 71235-3346 | 2018-06-15 |
| 1033450119 | Richard Ross Petty | Social Worker | 1081 Northside Shopping Ctr, Gorman Foundation Office Suite, Oneida, NY 13421-4901 | 2013-03-14 |
| 1831105105 | Richard A. Petty | Dentist | 2050 Huntington Dr, Suite B, South Pasadena, CA 91030-4900 | 2006-07-31 |
| 1730334079 | Richard George Petty | Acupuncturist | 2430 Tucker Dr, Bldg A, Loganville, GA 30052-4390 | 2008-12-01 |
| Street Address |
1525 BROADWAY ST SUITE 100 |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669544458 | Rix Pharmacy Pa | Pharmacy | 1525 Broadway St, Suite 100, Alexandria, MN 56308-3007 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122453 | Tsion Tafesse | Pharmacist | 250 S Van Dorn St Apt N415, Alexandria, VA 22304-4367 | 2020-07-30 |
| 1871136754 | Lily Dessalegn | Pharmacist | 6040 Richmond Hwy Apt 715, Alexandria, VA 22303-2132 | 2019-10-23 |
| 1124597802 | Kendrick Rashon Hunter | Pharmacist | 2050 North Mall Drive, Alexandria, LA 71301-3619 | 2018-11-25 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1285123794 | Habtamu Yilma Worku | Pharmacist | 5055 Seminary Rd Apt 521, Alexandria, VA 22311-2008 | 2018-05-10 |
| 1992257117 | Yodit Gulelat | Pharmacist | 7126 Lake Cove Dr, Alexandria, VA 22315-4221 | 2016-11-04 |
| 1598210668 | Tram Tran | Pharmacist | 5957 Manorview Way, Alexandria, VA 22315-5595 | 2016-08-18 |
| 1639535735 | Kathleen Riley | Pharmacist | 7660 Richmond Hwy, Alexandria, VA 22306-2843 | 2016-01-06 |
| 1649641549 | Daniel Lutu | Pharmacist | 6324 Gentele Ct, Alexandria, VA 22310-3110 | 2015-10-18 |
| 1285002568 | Quynh Nguyen | Pharmacist | 1411 Horseshoe Dr, Alexandria, LA 71301-2720 | 2015-09-03 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
Please comment or provide details below to improve the information on MISS RICHARD W PETTY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.