PHILIP ROBERT PETRIS PHARM.D.
NPI 1811635055
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Coos Bay, OR

Active since May 26, 2022
1775 THOMPSON RD, COOS BAY, OR 97420(541) 269-8169 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Philip Robert Petris Pharm.d. NPPES

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

PHILIP ROBERT PETRIS PHARM.D. (NPI 1811635055) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Coos Bay, Oregon, licensed in Oregon (RPH-0015773) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1811635055
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NamePHILIP ROBERT PETRISCredential: PHARM.D.
Location Address1775 THOMPSON RDCoos Bay, OR 97420-2125
Mailing Address63472 2nd Street LoopCoos Bay, OR 97420-4538 · (503) 421-0705
Sole ProprietorYes
Enumeration DateMay 26, 2022
NPPES CertifiedMay 26, 2022
NPI 1811635055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in OR · RPH-0015773
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1775 THOMPSON RD, Coos Bay, OR 97420

Other Providers at the Same Location NPPES 20

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

Pharmacist
1775 THOMPSON RD
COOS BAY, OR 97420
Physician Assistant
1775 THOMPSON RD
COOS BAY, OR 97420
Emergency Medicine
1775 THOMPSON RD
COOS BAY, OR 97420
Nurse Practitioner (Family)
1775 THOMPSON RD
COOS BAY, OR 97420
Pharmacist (Oncology)
1775 THOMPSON RD
COOS BAY, OR 97420
Radiology (Radiation Oncology)
1775 THOMPSON RD
COOS BAY, OR 97420
Emergency Medicine
1775 THOMPSON RD
COOS BAY, OR 97420
Nurse Anesthetist, Certified Registered
1775 THOMPSON RD
COOS BAY, OR 97420

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 Philip Petris's NPI number?

The NPI number for Philip Petris is 1811635055. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Where is Philip Petris located?

Philip Petris practices at 1775 Thompson Rd, Coos Bay, OR 97420. The listed phone number is (541) 269-8169.

What is Philip Petris's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Philip Petris was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.