Davis Brothers Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0552478 Issued in WV

Legal business name

DAVIS BROTHERS PHARMACY, INC.

Practice address

615 N Chester St
New Cumberland, WV 26047-9604

Phone

(304) 564-7249

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Paul Davis, PHARM.D.NPI 1174958813

Title

President/Pharmacist

Phone

(304) 670-8107

Specialties & licenses 1

Addresses

Other names 1

• Davis Brothers Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Davis Brothers Pharmacy Inc

  • Pharmacy
  • Chester, WV
  • NPI 1083156863

  O20150106001759

  Same enrollment

Tax ID family

Davis Brothers Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Davis Brothers Pharmacy Inc

  • Pharmacy
  • Chester, WV
  • NPI 1083156863
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Paul Davis, PHARM.D.

  • Pharmacist
  • Wheeling, WV
  • NPI 1174958813
  NPD Authorized official
• Kristian Fuchs, PHARMD

  • Pharmacist
  • New Cumberland, WV
  • NPI 1144929993
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1154722064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 HARLEY LN",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260473156",
            "telephone_number": "304-670-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N CHESTER ST",
            "city": "NEW CUMBERLAND",
            "state": "WV",
            "postal_code": "260479604",
            "telephone_number": "304-564-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS BROTHERS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "304-670-8107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Brothers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wendy Sue Conley
• Jamie Diane Cook
• Michelle Nevlis Cope
• Deborah L. Covey, R.N.
• Rebecca Custer
• Deborah Decaria
• Luann Decker
• Rachel Dye
• Kristina Edie
• Geoffrey Freeman

• Community/Retail Pharmacy in New Cumberland, WV
• Providers in New Cumberland, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.