DR. LISA G DEPETRIS PHARMD
NPI 1699057984
Pharmacist in Jacksonville, FL

Active since September 13, 2011
12647 KERNAN FOREST BLVD, JACKSONVILLE, FL 32225(904) 993-6383 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Lisa G Depetris Pharmd NPPES

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

DR. LISA G DEPETRIS PHARMD (NPI 1699057984) is an individual pharmacist in Jacksonville, Florida, licensed in Florida (PS45057) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1699057984
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. LISA G DEPETRISCredential: PHARMD
Location Address12647 KERNAN FOREST BLVDJacksonville, FL 32225-9501
Mailing Address12647 Kernan Forest BoluvardJacksonville, FL 32225 · (904) 993-6383
Sole ProprietorNo
Enumeration DateSeptember 13, 2011
NPI 1699057984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS45057
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.

12647 KERNAN FOREST BLVD, Jacksonville, FL 32225

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 Lisa Depetris's NPI number?

The NPI number for Lisa Depetris is 1699057984. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Lisa Depetris located?

Lisa Depetris practices at 12647 Kernan Forest Blvd, Jacksonville, FL 32225. The listed phone number is (904) 993-6383.

What is Lisa Depetris'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 Lisa Depetris was last updated on September 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.