Megan Petty

Primary specialty

PharmacistTaxonomy code 183500000X

License

R6Q9G8H6 Issued in PA

Practice address

15260 Kutztown Rd Ste 2
Kutztown, PA 19530-1342

Phone

(610) 683-5827

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Weis Markets Inc

  • Community/Retail Pharmacy
  • Kutztown, PA
  • NPI 1437333556
  NPD (past)
• Weis Markets Inc

  • Community/Retail Pharmacy
  • Waldorf, MD
  • NPI 1609739366
  NPD (past)

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1013685403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15260 KUTZTOWN RD STE 2",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301342",
            "telephone_number": "610-683-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15260 KUTZTOWN RD STE 2",
            "city": "KUTZTOWN",
            "state": "PA",
            "postal_code": "195301342",
            "telephone_number": "610-683-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "R6Q9G8H6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Nolt, MS, ATC
• Northeastern Berks Emergency Medical Service, Inc.
• Northern Berks Psychological Services
• Novacare Outpatient Rehabilitation East, Inc.
• Pennsylvania CVS Pharmacy, L.L.C.
• Rebecca Prevoznik, PTA, MHA
• Ilana Rachshtut, MD
• Reading Hospital
• Henrique Ribeiro
• Dawn Marie Rissmiller, RPH

• All providers in Kutztown, PA
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.