Juanita Joy Davidson, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

16015 Issued in LA

Practice address

1717 Oak Park Blvd Ste 110
Lake Charles, LA 70601-8977

Phone

(337) 494-2990

Fax

(337) 494-2550

NPI assigned

Dec 27, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• Lake Charles Pharmaceutical Supply Company LLC

  • Community/Retail Pharmacy
  • Lake Charles, LA
  • NPI 1750446183
  NPD

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1093523722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 TIMBERLAWN DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054341",
            "telephone_number": "337-358-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD STE 110",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018977",
            "telephone_number": "337-494-2990",
            "fax_number": "337-494-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "JUANITA",
        "middle_name": "JOY",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "16015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ashley MD DMD Oral Surgery Group, PC
• David Darbonne, M.D. Apmc
• David M Vieth DDS, a Professional Corporation
• David S Chang LLC
• Jody M. Davidson, L.C.S.W.
• Paige Davidson, CCC-SLP
• Kerri Davis-Fontenot, MD
• Carolyn Ann Davis, LPC, NCC, CCDP-D
• China Lynel Davis, PHARM.D
• Gladys Davis

• Pharmacist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.