Robert Earl Davis II, PHARMD
Individual provider Active NPI Pharmacist · Brandenburg, KY
NPI 1154734093 · NPPES record last updated Jun 9, 2014
Key facts
- NPI
- 1154734093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 014932 (KY)
- Practice address
- 610 Bypass Rd
Brandenburg, KY 40108-1730 - Phone
- (270) 422-5300
- Fax
- (270) 422-7950
- NPI assigned
- Jun 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014932 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 014932 | KY | Yes |
Addresses
Primary practice location
610 Bypass Rd
Brandenburg, KY 40108-1730
Mailing address
233 River Cliff Blvd
Brandenburg, KY 40108-1443
Phone (270) 980-0677
Other providers in Brandenburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.