James A. Pettus, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

007298 Issued in KY

Practice address

3033 Winkler Avenue Ext
Fort Myers, FL 33916-9413

Phone

(239) 939-3939

Fax

(239) 931-6109

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1003804220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12383 ANGLERS CV",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVENUE EXT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169413",
            "telephone_number": "239-939-3939",
            "fax_number": "239-931-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTUS",
        "first_name": "JAMES",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "007298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen Mary Petrie, PHARMD., CGP
• Aimie Petrikas, MA
• Judith Petrin, APRN
• Heather Diane Petrovich, ARNP
• Debbie Pettibone, LPN
• Katlyn M Peyton, NP
• Ashley Eryn Pezzi, M.D.
• Reynaldo Pezzotti Smith, M.D
• Denise M Pfeiffer, MSPT
• Wendy Leigh Pfeiffer, ARNP

• Pharmacist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.