MICHAEL RAND PETTIT PHARMD
NPI 1629383559
Pharmacist in Lake Charles, LA

Active since August 16, 2010
114 GLORIA DR, LAKE CHARLES, LA 70611(337) 314-9559 Get Directions Write a Review

NPPES record last updated: April 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Rand Pettit Pharmd NPPES

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

MICHAEL RAND PETTIT PHARMD (NPI 1629383559) is an individual pharmacist in Lake Charles, Louisiana, licensed in Louisiana (17789) and active in the NPI registry since August 2010. He maintains a secondary practice location in Deridder.

NPPES Registry Identity

NPI1629383559
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMICHAEL RAND PETTITCredential: PHARMD
Location Address114 GLORIA DRLake Charles, LA 70611
Mailing Address114 Gloria DrLake Charles, LA 70611 · (337) 314-9559
Sole ProprietorNo
Enumeration DateAugust 16, 2010
Last NPPES UpdateApril 16, 2020
NPPES CertifiedApril 16, 2020
NPI 1629383559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in LA · 17789
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.
114 GLORIA DR, Lake Charles, LA 70611

Secondary Practice Location 1

Location 1916 N Pine StDeridder, LA 70634-2816 · Phone (337) 462-2019 · Fax (337) 462-2339

Other Providers at the Same Location NPPES 2

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

Pharmacist
114 GLORIA DR
LAKE CHARLES, LA 70611
Pharmacy (Community/Retail Pharmacy)
114 GLORIA DR
MOSS BLUFF, LA 70611

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 Michael Pettit's NPI number?

The NPI number for Michael Pettit is 1629383559. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Michael Pettit located?

Michael Pettit practices at 114 Gloria Dr, Lake Charles, LA 70611. The listed phone number is (337) 314-9559.

What is Michael Pettit'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 Michael Pettit was last updated on April 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.