Alex Pettit, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

23036 Issued in IA

Practice address

405 S Sumner Ave
Creston, IA 50801-3330

Phone

(641) 782-6558

NPI assigned

Jan 10, 2021

Reactivated

Aug 23, 2024

Sex

Male

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Jeff Longstaff Corporation

  dba Medicap Pharmacy

  • Community/Retail Pharmacy
  • Creston, IA
  • NPI 1447344858
  NPD Authorized official

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1376131805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S SUMNER AVE",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508013330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S SUMNER AVE",
            "city": "CRESTON",
            "state": "IA",
            "postal_code": "508013330",
            "telephone_number": "641-782-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "ALEX",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-10",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "deactivation_date": "2024-08-01",
        "reactivation_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Next Right Treatment Services, LLC.
• Megan Rose NG, ARNP
• Nurses on Call, Inc.
• Heather Anna Osterbrink, M.D.
• Vickie S Paulus, RN
• Planned Parenthood of the Heartland
• Logan Porter
• Precision Optical Group
• Mark A Preston, MD
• Julia White Preusch, LISW

• Pharmacist in Creston, IA
• Providers in Creston, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.