Active NPI
Christopher Davis, PHARMD
- Pharmacist
- St John, KS
National Provider Identifier
1104415512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-103152
- Practice address
- 329A N US Highway 281
St John, KS 67576-8309 - Phone
- (620) 377-5633
- Fax
- (620) 377-5656
- NPI assigned
- Jan 12, 2021
- 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 | 1-103152 | KS | Primary |
Addresses
Primary practice location
329A N US Highway 281
St John, KS 67576-8309
Mailing address
PO Box 247
St John, KS 67576-0247
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 |
|---|---|---|---|
| 1-103152 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stafford County Drug | Current | Accepting new patients | |
| Stafford County Drug | Current | Accepting new patients |
Locations
329A N US Highway 281
St John, KS 67576
Phone (620) 377-5633
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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- St John, KS
- NPI 1184215113
-
- Community/Retail Pharmacy
- St John, KS
- NPI 1518476399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1104415512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "ST JOHN",
"state": "KS",
"postal_code": "675760247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329A N US HIGHWAY 281",
"city": "ST JOHN",
"state": "KS",
"postal_code": "675768309",
"telephone_number": "620-377-5633",
"fax_number": "620-377-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTOPHER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-103152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St John, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.