Active NPI
David Joseph Petro, RPH
- Pharmacist
- Chattanooga, TN
National Provider Identifier
1811247901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10750
- Practice address
- 5901 Shallowford Rd
Chattanooga, TN 37421-6210 - Phone
- (423) 855-8035
- NPI assigned
- Sep 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 10750 | TN | Primary |
Addresses
Primary practice location
5901 Shallowford Rd
Chattanooga, TN 37421-6210
Mailing address
4748 Sussex LN
Chattanooga, TN 37421-1137
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10750 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347667200000",
"number": "1811247901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4748 SUSSEX LN",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374216210",
"telephone_number": "423-855-8035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRO",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-15",
"last_updated": "2012-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "10750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.