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

Mr. Douglas Gene Petty, RPH

Individual provider Pharmacist · NPI 1083672810

Mr. Douglas Gene Petty, RPH is a Pharmacist in Kirksville, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

500 N Baltimore St
Kirksville, MO 63501-3214
Phone: (660) 665-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 043669 (MO)

Record details

NPI number1083672810
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESJuly 13, 2026

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