Active NPI
Al Davis Pharmacy Inc
- Community/Retail Pharmacy
- Raceland, LA
National Provider Identifier
1013021096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 4721IR
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alvin Davis
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1269140 | Medicaid | LA | |
| 1930406 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- AL DAVIS PHARMACY INC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Raceland, LA
- NPI 1750602710
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.