Active NPI
Adele C. G. Davis, PHARM.D., BCACP
- Pharmacist
- Juneau, AK
National Provider Identifier
1003241597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15549
- Practice address
- 1200 Salmon Creek LN
Juneau, AK 99801 - Phone
- (907) 463-4031
- Fax
- (907) 463-6658
- NPI assigned
- Sep 4, 2013
- Sex
- Female
- Sole proprietor
- No
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 | 15549 | OK | Primary |
Addresses
Primary practice location
1200 Salmon Creek LN
Juneau, AK 99801
Mailing address
PO Box 35935
Juneau, AK 99803-5935
Phone (575) 491-0332
Other practice location 1
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3105
Other names 1
- Adele C Garrison
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15549 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557187200000",
"number": "1003241597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35935",
"city": "JUNEAU",
"state": "AK",
"postal_code": "998035935",
"telephone_number": "575-491-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SALMON CREEK LN",
"city": "JUNEAU",
"state": "AK",
"postal_code": "99801",
"telephone_number": "907-463-4031",
"fax_number": "907-463-6658"
}
],
"practiceLocations": [
{
"address_1": "100 S Bliss Ave",
"address_purpose": "LOCATION",
"city": "Tahlequah",
"state": "OK",
"postal_code": "744642512",
"country_code": "US",
"telephone_number": "918-458-3105",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "ADELE",
"middle_name": "C. G.",
"credential": "PHARM.D., BCACP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2019-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "15549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADELE",
"last_name": "GARRISON",
"middle_name": "C",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Juneau, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.