Stacy Petot, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03114984 Issued in OH

Practice address

26400 Dixie Hwy
Perrysburg, OH 43551-1967

Phone

(567) 368-6010

NPI assigned

Oct 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

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": "1476921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1033660477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 HEATHERWOOD DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436143243",
            "telephone_number": "419-787-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26400 DIXIE HWY",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511967",
            "telephone_number": "567-368-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETOT",
        "first_name": "STACY",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03114984",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302028935",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26015646A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "PHAP1548",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "3457",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019573",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perrysburg SNF, LLC
• Perrysburg Therapy LLC
• Perrysburg Vision Care
• Person to Person Resources, Inc.
• Shelby A Petcoff, MSN, APRN, FNP-C
• Peter Petroske, LPC
• Jala Pettaway
• Pflegmed LLC
• Sheila M Phelan, DDS
• Philosophy Counseling & Consulting, LLC

• Pharmacist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.