Active NPI
Scott M Davis
- Pharmacist
- Eugene, OR
National Provider Identifier
1033482716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0011355
- Practice address
- 2788 River Rd
Eugene, OR 97404-2048 - Phone
- (541) 607-1541
- NPI assigned
- Feb 11, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 0011355 | OR | Primary |
Addresses
Primary practice location
2788 River Rd
Eugene, OR 97404-2048
Mailing address
2788 River Rd
Eugene, OR 97404-2048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011355 | Other | OR | STATE PHARMACIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011355 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients |
Locations
2788 River Rd
Eugene, OR 97404
Phone (541) 607-1541
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1033482716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2788 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974042048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2788 RIVER RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974042048",
"telephone_number": "541-607-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SCOTT",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-11",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "0011355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "0011355",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.