Active NPI
Jezreel Davis, PHARMD
- Pharmacist
- Washington, DC
National Provider Identifier
1093314098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202215632
- Practice address
- 401 M St SE
Washington, DC 20003-3469 - Phone
- (202) 554-0164
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202215632 | VA | Primary |
| Pharmacist | 183500000X | PH100002441 | DC |
Addresses
Primary practice location
401 M St SE
Washington, DC 20003-3469
Mailing address
4980 Leesburg Pike Apt 607
Alexandria, VA 22302-1114
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | s000pfl058@harristeeter.com |
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 |
|---|---|---|---|
| PH100002441 | DC | MD | Pharmacist |
| 0202215632 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1093314098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4980 LEESBURG PIKE APT 607",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223021114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 M ST SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200033469",
"telephone_number": "202-554-0164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEZREEL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202215632",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DC",
"license": "PH100002441",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "s000pfl058@harristeeter.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"address_1": "401 M St SE",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200033469",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.