Active NPI
Jelani Gemar Davis, PHARM.D
- Pharmacist
- Dublin, GA
National Provider Identifier
1114218302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024617
- Practice address
- 116 Hillcrest Pkwy
Dublin, GA 31021-6340 - Phone
- (478) 275-3655
- NPI assigned
- Apr 22, 2011
- 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 | 024617 | GA | Primary |
Addresses
Primary practice location
116 Hillcrest Pkwy
Dublin, GA 31021-6340
Mailing address
121 Margie Dr
Apartment #902
Warner Robins, GA 31093-7600
Phone (704) 307-9596
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 |
|---|---|---|---|
| 024617 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1114218302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 MARGIE DR",
"address_2": "APARTMENT #902",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310937600",
"telephone_number": "704-307-9596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 HILLCREST PKWY",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310216340",
"telephone_number": "478-275-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JELANI",
"middle_name": "GEMAR",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-22",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "024617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.