Active NPI
Brenda Maureen Kavanaugh-Davis
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Ft Washington, MD
National Provider Identifier
1134489701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 10878
- Practice address
- 601 Cedar Rd
Ft Washington, MD 20744-6604 - Phone
- (301) 203-4451
- NPI assigned
- May 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10878 | MD | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 11582 | LA |
Addresses
Primary practice location
601 Cedar Rd
Ft Washington, MD 20744-6604
Mailing address
601 Cedar Rd
Ft Washington, MD 20744-6604
Phone (301) 203-4451
Other names 1
- Mrs. Brenda K. Davis
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11582 | LA | MD | Clinical Social Worker |
| 10878 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1134489701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 CEDAR RD",
"city": "FT WASHINGTON",
"state": "MD",
"postal_code": "207446604",
"telephone_number": "301-203-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CEDAR RD",
"city": "FT WASHINGTON",
"state": "MD",
"postal_code": "207446604",
"telephone_number": "301-203-4451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAVANAUGH-DAVIS",
"first_name": "BRENDA",
"middle_name": "MAUREEN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-16",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MD",
"license": "10878",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "LA",
"license": "11582",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "DAVIS",
"middle_name": "K.",
"prefix": "MRS.",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ft Washington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.