Active NPI
Martin Davenport
- Pharmacist
- Murray, KY
National Provider Identifier
1083210181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010140
- Practice address
- 100 N 12TH St
Murray, KY 42071-1912 - Phone
- (270) 753-2044
- NPI assigned
- Dec 5, 2020
- 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 | 010140 | KY | Primary |
Addresses
Primary practice location
100 N 12TH St
Murray, KY 42071-1912
Mailing address
358 Waterway TRL
New Concord, KY 42076-4826
Phone (270) 227-2911
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 |
|---|---|---|---|
| 010140 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607126400000",
"number": "1083210181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 WATERWAY TRL",
"city": "NEW CONCORD",
"state": "KY",
"postal_code": "420764826",
"telephone_number": "270-227-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N 12TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420711912",
"telephone_number": "270-753-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "MARTIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-05",
"last_updated": "2020-12-05",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.