MICHAEL RAND PETTIT


Address: 114 Gloria Dr, Lake Charles, LA 70611
Phone: 3373149559

MICHAEL RAND PETTIT (NPI# 1629383559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629383559
Entity Type Individual
Full Name MICHAEL RAND PETTIT
Credential PHARMD
Practice Address 114 Gloria Dr
Lake Charles
LA 70611
Practice Telephone 3373149559
Mailing Telephone 3373149559
Enumeration Date 2010-08-16
Last Update Date 2020-04-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 17789 LA Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
916 N Pine St, Deridder, LA 706342816 3374622019 3374622339

Other Providers MICHAEL PETTIT

NPI Name Taxonomy Address Enumeration
1518234590 Michael Todd Pettit Pharmacist 2508 W Broadway, Council Bluffs, IA 51501-3509 2011-11-19
1215013891 Michael James Pettit Radiology 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 2006-10-27

Office Location

Street Address 114 GLORIA DR
City LAKE CHARLES
State LA
Zip Code 70611

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972122349 Harrp Group Pharmacy 114 Gloria Dr, Lake Charles, LA 70611 2020-04-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417429036 Ochsner Clinic LLC Internal Medicine 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 2018-12-20
1538669361 Nafeesa Zindani Family Medicine Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 2018-02-19
1265930457 Mark Kwame Osebre Pharmacist 120 Us-171, Moss Bluff, LA 70611 2018-01-23
1255840690 Eavy's Medical Transportation Non-emergency Medical Transport (VAN) 1274 You Winn Rd, Moss Bluff, LA 70611 2017-09-28
1417324112 Golden Touch LLC Respite Care 633 Donna Dr., Lake Charles, LA 70611 2015-08-28
1801299037 Howard Bosely Pharmacist 899 Hwy 171 North, Lake Charles, LA 70611 2014-10-02
1780938266 Kendra P Achord Pharmacist 899 Hwy 171 N, Lake Charles, LA 70611 2012-11-05
1235435314 John Trahan II Apdc Dentist 139 Gloria Dr., Lake Charles, LA 70611 2011-02-07
1851417844 Steven Raymond Latiolais Dentist 644 Highway 171 N, Suite D, Lake Charles, LA 70611 2007-03-21
1518043595 Lori H. Gober Dentist 340 N. Hwy 171, Suite A, Lake Charles, LA 70611 2006-10-31
Find all providers in zip 70611

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407308034 Madeline Landry Pharmacist 3731 Inwood Dr, Lake Charles, LA 70605-6770 2016-10-31
1376099143 Jessica Pete Pharmacist 2818 Barb Ln, Lake Charles, LA 70607-7645 2016-08-31
1225498306 Raven Rachelle Miranda Pharmacist 6031 Nelson Rd, Lake Charles, LA 70605-0468 2016-03-02
1386018661 Joseph Tchani Pharmacist 1605 Whispering Woods Dr, Lake Charles, LA 70605-1300 2015-11-24
1861878803 Chelsey Trammell Pharmacist 2000 Gerstner Memorial Dr, Lake Charles, LA 70601 2015-07-31
1801299037 Howard Bosely Pharmacist 899 Hwy 171 North, Lake Charles, LA 70611 2014-10-02
1417356544 Scott Labiche Pharmacist 3415 Highway 14, Lake Charles, LA 70607-2147 2014-08-14
1023417151 Kyle Gardner Pharmacist 2500 North Highway 171, Lake Charles, LA 70601 2014-08-14
1598188443 Lores Roeder Pharmacist 5721 Alder St, Lake Charles, LA 70605-0496 2014-01-29
1508290768 Shanna Tiffany Simon Pharmacist 899 N Highway 171, Lake Charles, LA 70611-5034 2013-08-23
Find all providers in LAKE CHARLES

Competitor

Search similar providers

City LAKE CHARLES
Zip Code 70611

Improve Information

Please comment or provide details below to improve the information on MICHAEL RAND PETTIT.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches