Active NPI
Jennifer Kent Davis, PHARM.D.
- Pharmacist
- Steubenville, OH
National Provider Identifier
1083607675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202205727
- Practice address
- 4000 Johnson Rd
Steubenville, OH 43952-2364 - Phone
- (740) 264-8232
- NPI assigned
- Aug 30, 2005
- Reactivated
- Apr 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RPH021927 | GA | |
| Pharmacist | 183500000X | 0202205727 | VA | Primary |
Addresses
Primary practice location
4000 Johnson Rd
Steubenville, OH 43952-2364
Mailing address
4800 Friendship Ave
Pittsburgh, PA 15224-1722
Phone (412) 605-6389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP441478 | Other | PA | STATE 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202205727 | VA | MD | Pharmacist |
| RPH021927 | GA | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1083607675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 FRIENDSHIP AVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152241722",
"telephone_number": "412-605-6389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 JOHNSON RD",
"city": "STEUBENVILLE",
"state": "OH",
"postal_code": "439522364",
"telephone_number": "740-264-8232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JENNIFER",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "GA",
"license": "RPH021927",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202205727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RP441478",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Steubenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.