IndividualActive
Lisa Depetris, PHARMD
NPI 1699057984 · Pharmacist · Jacksonville, FL
Lisa Depetris, PHARMD is a Pharmacist provider in Jacksonville, FL (NPI 1699057984).
Provider details
- NPI number
- 1699057984
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- PS45057 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
12647 Kernan Forest Blvd
Jacksonville, FL 32225-9501
Phone: (904) 993-6383
Street-level locationGet directions
Mailing address
12647 Kernan Forest Boluvard
Jacksonville, FL 32225
Registry dates
- Enumerated
- 2011-09-13
- Last updated
- 2011-09-13
Frequently asked questions
- What is Lisa Depetris's NPI number?
- Lisa Depetris's National Provider Identifier (NPI) is 1699057984, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Depetris's specialty?
- Lisa Depetris is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Lisa Depetris located?
- Lisa Depetris's practice location on file with NPPES is 12647 Kernan Forest Blvd, Jacksonville, FL 32225-9501.
- What is Lisa Depetris's phone number?
- The practice phone number listed in the NPPES registry for Lisa Depetris is (904) 993-6383.
- Is Lisa Depetris's NPI active?
- Yes — Lisa Depetris's NPI (1699057984) is active in the NPPES registry as of the last update on 2011-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.