IndividualActive
Douglas Petty, RPH
NPI 1083672810 · Pharmacist · Kirksville, MO
Douglas Petty, RPH is a Pharmacist provider in Kirksville, MO (NPI 1083672810).
Provider details
- NPI number
- 1083672810
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- License
- 043669 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
500 N Baltimore St
Kirksville, MO 63501-3214
Phone: (660) 665-7400
Street-level locationGet directions
Mailing address
1410 E Meadow Ln
Kirksville, MO 63501-2654
Registry dates
- Enumerated
- 2006-05-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Douglas Petty's NPI number?
- Douglas Petty's National Provider Identifier (NPI) is 1083672810, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Petty's specialty?
- Douglas Petty is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Douglas Petty located?
- Douglas Petty's practice location on file with NPPES is 500 N Baltimore St, Kirksville, MO 63501-3214.
- What is Douglas Petty's phone number?
- The practice phone number listed in the NPPES registry for Douglas Petty is (660) 665-7400.
- Is Douglas Petty's NPI active?
- Yes — Douglas Petty's NPI (1083672810) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.