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)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
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
Frequently asked questions
- What is Nicholas Petty's NPI number?
- Nicholas Petty's National Provider Identifier (NPI) is 1003403775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Petty's specialty?
- Nicholas Petty is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Nicholas Petty located?
- Nicholas Petty's practice location on file with NPPES is 15180 Tamiami Trl, North Port, FL 34287-2742.
- What is Nicholas Petty's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Petty is (941) 423-6700.
- Is Nicholas Petty's NPI active?
- Yes — Nicholas Petty's NPI (1003403775) is active in the NPPES registry as of the last update on 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.