What is Kenneth Petta's NPI number?

Kenneth Petta's National Provider Identifier (NPI) is 1871877373, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kenneth Petta's specialty?

Kenneth Petta is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Kenneth Petta located?

Kenneth Petta's practice location on file with NPPES is 53 W Twin Creeks Trl, Troup, TX 75789-6702.

What is Kenneth Petta's phone number?

The practice phone number listed in the NPPES registry for Kenneth Petta is (903) 842-4209.

Is Kenneth Petta's NPI active?

Yes — Kenneth Petta's NPI (1871877373) is active in the NPPES registry as of the last update on 2011-10-03.

IndividualActive

Kenneth Petta, RPH

NPI 1871877373 · Pharmacist · Troup, TX

Kenneth Petta, RPH is a Pharmacist provider in Troup, TX (NPI 1871877373).

Provider details

NPI number: 1871877373
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: Yes
License: 29476 (TX)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 29476 (TX)
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

53 W Twin Creeks Trl

Troup, TX 75789-6702

Phone: (903) 842-4209

Street-level locationGet directions

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Mailing address