Active NPI
Alison Gray Davenport, ALISON DAVENPORT
- Pharmacist
- Wilmington, NC
National Provider Identifier
1003048646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7344
- Practice address
- 4502 Shipyard Blvd
Wilmington, NC 28403-6163 - Phone
- (910) 799-3162
- Fax
- (910) 452-1920
- NPI assigned
- Aug 16, 2009
- Sex
- Female
- 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 | 7344 | NC | Primary |
Addresses
Primary practice location
4502 Shipyard Blvd
Wilmington, NC 28403-6163
Mailing address
5013 Monck CT
Wilmington, NC 28409-3173
Phone (910) 395-2201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 655952 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7344 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250380800000",
"number": "1003048646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5013 MONCK CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284093173",
"telephone_number": "910-395-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 SHIPYARD BLVD",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036163",
"telephone_number": "910-799-3162",
"fax_number": "910-452-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "ALISON",
"middle_name": "GRAY",
"credential": "ALISON DAVENPORT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-16",
"last_updated": "2009-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "7344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "655952",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.