IndividualActive
Nicholas Petty, PHARMD
NPI 1003403775 · Pharmacist · North Port, FL
Nicholas Petty, PHARMD is a Pharmacist provider in North Port, FL (NPI 1003403775).
Provider details
- NPI number
- 1003403775
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- PS58943 (FL)
Practice location
15180 Tamiami Trl
North Port, FL 34287-2742
Phone: (941) 423-6700
Street-level locationGet directions
Mailing address
5081 Winter Rose Way
Venice, FL 34293-8213
Registry dates
- Enumerated
- 2020-12-28
- Last updated
- 2020-12-28
- Certified
- 2020-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.