Individual provider Active NPI

James Donald Davis Jr., RPH

  • Pharmacist
  • Denver, NC
National Provider Identifier
1073547436
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7430 Issued in NC
Practice address
3634 North Hwy 16
Denver, NC 28037
Phone
(704) 489-2223
Fax
(704) 489-2263
NPI assigned
Jul 10, 2006
Last updated
Dec 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7430 NC Primary

Addresses

Primary practice location

3634 North Hwy 16
Denver, NC 28037

Mailing address

6028 S NC 16 Hwy
Maiden, NC 28650-8114
Phone (704) 489-2223

Other identifiers 1

IdentifierTypeStateIssuer
7430OtherNCSTATE PHARMACY PERMIT

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
7430NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Caremor Family Pharmacy Inc Past Accepting new patients
Caremor Family Pharmacy Inc Pharmacist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1073547436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 S NC 16 HWY",
            "city": "MAIDEN",
            "state": "NC",
            "postal_code": "286508114",
            "telephone_number": "704-489-2223",
            "fax_number": "704-489-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 NORTH HWY 16",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "28037",
            "telephone_number": "704-489-2223",
            "fax_number": "704-489-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMES",
        "middle_name": "DONALD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "7430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY PERMIT",
            "identifier": "7430",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; 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.