Individual provider Active NPI

Joe Richard Davis, R.PH.

  • Geriatric Pharmacist
  • Stafford, TX
National Provider Identifier
1043885841
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
22829 Issued in TX
Practice address
10650 W Airport Blvd Ste 150
Stafford, TX 77477-3066
Phone
(281) 776-8860
Fax
(800) 973-3455
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 22829 TX
Geriatric Pharmacist 1835G0303X 22829 TX Primary

Addresses

Primary practice location

10650 W Airport Blvd Ste 150
Stafford, TX 77477-3066

Mailing address

10650 W Airport Blvd Ste 150
Stafford, TX 77477-3066
Phone (281) 776-8860

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joe.davis@omnicare.com Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
22829TXMDRadiology Practitioner Assistant

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1043885841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 W AIRPORT BLVD STE 150",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773066",
            "telephone_number": "281-776-8860",
            "fax_number": "800-973-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 W AIRPORT BLVD STE 150",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773066",
            "telephone_number": "281-776-8860",
            "fax_number": "800-973-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOE",
        "middle_name": "RICHARD",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "22829",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "TX",
            "license": "22829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joe.davis@omnicare.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10650 W Airport Blvd Ste 150",
            "city": "Stafford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774773066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.