David Thomas Petley, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0014155 Issued in OR

Practice address

2051 Newmark Ave
Coos Bay, OR 97420-4728

Phone

(541) 888-5750

NPI assigned

Jul 24, 2014

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

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1639587512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 NEWMARK AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204728",
            "telephone_number": "541-888-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 NEWMARK AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974204728",
            "telephone_number": "541-888-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETLEY",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Paullus, RN, RNFA
• Bhavani Peddagovindu, MD
• Ryan D Pederson, D.P.M.
• Ruth Ann Peet
• Stephanie Perkins, FNP
• Kristy Leigh Petrie, RN, BSN, FAACM
• Naomi Rachelle Petrie
• Philip Robert Petris, PHARM.D.
• Patricia Anne Peyton, RDH
• Nhan Pham, D.O.

• Pharmacist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.