Active NPI
Megan Petty
- Pharmacist
- Kutztown, PA
National Provider Identifier
1013685403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R6Q9G8H6
- Practice address
- 15260 Kutztown Rd Ste 2
Kutztown, PA 19530-1342 - Phone
- (610) 683-5827
- NPI assigned
- Sep 1, 2021
- Last updated
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | R6Q9G8H6 | PA | Primary |
Addresses
Primary practice location
15260 Kutztown Rd Ste 2
Kutztown, PA 19530-1342
Mailing address
15260 Kutztown Rd Ste 2
Kutztown, PA 19530-1342
Phone (610) 683-5827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R6Q9G8H6 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weis Markets Inc | Past | Accepting new patients | |
| Weis Markets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
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": []
}Other providers in Kutztown, PA
- Brandon Nolt, MS, ATC
- Northeastern Berks Emergency Medical Service, Inc.
- Northern Berks Psychological Services
- Novacare Outpatient Rehabilitation East, Inc. (NovaCare Rehabilitation)
- Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #01301)
- Rebecca Prevoznik, PTA, MHA
- Ilana Rachshtut, MD
- Reading Hospital (Reading Hospital-Mental Health Kutztown)
- Henrique Ribeiro
- Dawn Marie Rissmiller, RPH
Sources for this page
- 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.