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MICHAEL CARROLL PETITT RPH, PHARM.D.
NPI 1902575947
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fort Campbell, KY

Active since September 13, 2021
650 JOEL DR, FORT CAMPBELL, KY 42223(270) 412-9109(270) 412-4601 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Oct 4, 2022, Sep 13, 2021 (3 updates tracked since 2021).

About Michael Carroll Petitt Rph, Pharm.d. NPPES

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

MICHAEL CARROLL PETITT RPH, PHARM.D. (NPI 1902575947) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fort Campbell, Kentucky, licensed in Tennessee (043550) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1902575947
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMICHAEL CARROLL PETITTCredential: RPH, PHARM.D.
Location Address650 JOEL DRFort Campbell, KY 42223-5318
Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 412-9109 · Fax (270) 412-4601
Phone(270) 412-9109
Fax(270) 412-4601
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1902575947 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 TN · 043550
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.
650 JOEL DR, Fort Campbell, KY 42223
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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.

LISA RENEE CORDELL RN
Registered Nurse
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

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 Petitt's NPI number?

The NPI number for Michael Petitt is 1902575947. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Michael Petitt located?

Michael Petitt practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 412-9109.

What is Michael Petitt'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 Michael Petitt was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.