Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa G Depetris, PHARMD

Individual provider Pharmacist · NPI 1699057984

Dr. Lisa G Depetris, PHARMD is a Pharmacist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

12647 Kernan Forest Blvd
Jacksonville, FL 32225-9501
Phone: (904) 993-6383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS45057 (FL)

Record details

NPI number1699057984
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedSeptember 13, 2011
Last updated in NPPESSeptember 13, 2011

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