Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. DOUGLAS GENE PETTY RPH
NPI 1083672810
Pharmacist in Kirksville, MO

Active since May 02, 2006
500 N BALTIMORE ST, KIRKSVILLE, MO 63501(660) 665-7400 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Douglas Gene Petty Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS GENE PETTY RPH (NPI 1083672810) is an individual pharmacist in Kirksville, Missouri, licensed in Missouri (043669) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1083672810
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. DOUGLAS GENE PETTYCredential: RPH
Location Address500 N BALTIMORE STKirksville, MO 63501-3214
Mailing Address1410 E Meadow LnKirksville, MO 63501-2654 · (660) 627-0718
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1083672810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 043669
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.
500 N BALTIMORE ST, Kirksville, MO 63501

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
500 N BALTIMORE ST
KIRKSVILLE, MO 63501
Pharmacist
500 N BALTIMORE ST
KIRKSVILLE, MO 63501
Pharmacy (Community/Retail Pharmacy)
500 N BALTIMORE ST
KIRKSVILLE, MO 63501
Pharmacist
500 N BALTIMORE ST
KIRKSVILLE, MO 63501
Pharmacist
500 N BALTIMORE ST
KIRKSVILLE, MO 63501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Petty's NPI number?

The NPI number for Douglas Petty is 1083672810. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Douglas Petty located?

Douglas Petty practices at 500 N Baltimore St, Kirksville, MO 63501. The listed phone number is (660) 665-7400.

What is Douglas Petty's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Douglas Petty was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.