Davies Pharmacy, Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DAVIES PHARMACY, INC

Practice address

2915 Tuscarawas St W
Canton, OH 44708-4607

Phone

(330) 454-5151

Fax

(330) 454-5266

NPI assigned

Jun 8, 2005

Last updated

Jul 24, 2007By 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

Mr. Steven Lawrence Fettman, RPHNPI 1467632620

Title

Owner Pharmacist

Phone

(330) 454-5151

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Davies Pharmacy, Inc

  • Long Term Care Pharmacy
  • Canton, OH
  • NPI 1801719091
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Lawrence Fettman, RPH

  • Pharmacist
  • Canton, OH
  • NPI 1467632620
  NPD Authorized official
• Zachary David Fettman, PHARMD

  • Pharmacist
  • North Canton, OH
  • NPI 1013505528
  NPD

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1144224049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084607",
            "telephone_number": "330-454-5151",
            "fax_number": "330-454-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084607",
            "telephone_number": "330-454-5151",
            "fax_number": "330-454-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIES PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "FETTMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "330-454-5151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2010335",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice David, RN
• Manova David, M.D
• Mary Ellen David, MA, LSW
• Kimberly Ann Davidsaver, RN
• Ernest J Davidson III, LPN
• Davies Pharmacy, Inc
• Erik James Davies, LCDC III
• Patricia A Davies, LPCC-S
• Alyssa Davis
• Amy A Davis

• Pharmacy in Canton, OH
• Providers in Canton, OH by specialty
• Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.