Active NPI
Sonja Beverly Davis, PHARMD
- Pharmacist
- West Columbia, SC
National Provider Identifier
1023368057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12957
- Practice address
- 1500 Charleston Hwy
West Columbia, SC 29169-5048 - Phone
- (803) 796-3722
- Fax
- (803) 791-3471
- NPI assigned
- Sep 18, 2012
- Sex
- Female
- 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 | 12957 | SC | Primary |
Addresses
Primary practice location
1500 Charleston Hwy
West Columbia, SC 29169-5048
Mailing address
1500 Charleston Hwy
West Columbia, SC 29169-5048
Phone (803) 796-3722
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 |
|---|---|---|---|
| 12957 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1023368057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CHARLESTON HWY",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291695048",
"telephone_number": "803-796-3722",
"fax_number": "803-791-3471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CHARLESTON HWY",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291695048",
"telephone_number": "803-796-3722",
"fax_number": "803-791-3471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SONJA",
"middle_name": "BEVERLY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.