Darrel Bevlin Davis, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00006150 Issued in WA

Practice address

2755 77TH Ave SE
Mercer Island, WA 98040-2811

Phone

(425) 355-1647

Fax

(425) 348-2213

NPI assigned

Oct 18, 2012

Last updated

Oct 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350518400000",
    "number": "1013260819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7861",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980420047",
            "telephone_number": "206-972-6367",
            "fax_number": "425-432-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 77TH AVE SE",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980402811",
            "telephone_number": "425-355-1647",
            "fax_number": "425-348-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DARREL",
        "middle_name": "BEVLIN",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00006150",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH19250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Lee Dalgardno
• Alex H Dang, PHARMD
• Karen Danklefsen
• Rebecca A Dao
• Elizabeth Helen Daugherty
• Catherine Deleon, OTR/L
• Catherine Anne Delsecco, PA-C
• Christina Maria Demopulos, M.D.
• Gregory A Demopulos, MD
• Dental Med Alliance

• Pharmacist in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.