Davis Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50000305 Issued in ME

Legal business name

DAVIS PHARMACY

Doing business as

Davis Pharmacy

Practice address

59 Main St
E Millinocket, ME 04430-1126

Phone

(207) 746-3721

Fax

(207) 746-9230

NPI assigned

Dec 28, 2006

Last updated

Jan 18, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Davis, RPH

Title

Pres

Phone

(207) 746-3721

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• DAVIS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1114083094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MAIN ST",
            "city": "E MILLINOCKET",
            "state": "ME",
            "postal_code": "044301126",
            "telephone_number": "207-746-3721",
            "fax_number": "207-746-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MAIN ST",
            "city": "E MILLINOCKET",
            "state": "ME",
            "postal_code": "044301126",
            "telephone_number": "207-746-3721",
            "fax_number": "207-746-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "207-746-3721",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50000305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2036558",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999101731",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVIS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.