Organization Active NPI

Al Davis Pharmacy Inc

  • Community/Retail Pharmacy
  • Raceland, LA
National Provider Identifier
1013021096
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
4721IR Issued in LA
Legal business name
AL DAVIS PHARMACY INC
Practice address
4708 Highway 1
Raceland, LA 70394-2635
Phone
(985) 537-7050
Fax
(985) 537-7060
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alvin DavisNPI 1750602710
Title
Pres
Phone
(985) 537-7050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 4721IR LA Primary

Addresses

Primary practice location

4708 Highway 1
Raceland, LA 70394-2635

Mailing address

4708 Highway 1
Raceland, LA 70394-2635
Phone (985) 537-7050

Other identifiers 2

IdentifierTypeStateIssuer
1269140MedicaidLA
1930406OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • AL DAVIS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

4708 Highway 1
Raceland, LA 70394
Phone (985) 537-7050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1013021096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942635",
            "telephone_number": "985-537-7050",
            "fax_number": "985-537-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942635",
            "telephone_number": "985-537-7050",
            "fax_number": "985-537-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL DAVIS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "985-537-7050"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "4721IR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269140",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1930406",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AL DAVIS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.