Active NPI
Justin F Davis, PHARMD
- Pharmacist
- Seattle, WA
National Provider Identifier
1013291798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60622669
- Practice address
- 4025 Delridge Way SW
Suite 400
Seattle, WA 98106-1249 - Phone
- (206) 726-3495
- NPI assigned
- Sep 29, 2011
- Sex
- Male
- 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 | PH60622669 | WA | Primary |
Addresses
Primary practice location
4025 Delridge Way SW
Suite 400
Seattle, WA 98106-1249
Mailing address
4025 Delridge Way SW
Suite 400
Seattle, WA 98106-1249
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 |
|---|---|---|---|
| PH60622669 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1013291798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 DELRIDGE WAY SW",
"address_2": "SUITE 400",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981061249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 DELRIDGE WAY SW",
"address_2": "SUITE 400",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981061249",
"telephone_number": "206-726-3495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JUSTIN",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60622669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.