Active NPI
Russell Davis, PHARMD
- Pharmacist
- Arroyo, PR
National Provider Identifier
1154745206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6199
- Practice address
- KM 130.1 Cuatro C
Paseo del Faro PR
Arroyo, PR 00714 - Phone
- (787) 839-8505
- Fax
- (787) 839-5587
- NPI assigned
- Feb 10, 2014
- 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 | 6199 | PR | Primary |
Addresses
Primary practice location
KM 130.1 Cuatro C
Paseo del Faro PR
Arroyo, PR 00714
Mailing address
150 Carretera 857 & State Rd 3
Carolina, PR 00987
Phone (787) 701-0808
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 |
|---|---|---|---|
| 6199 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671494400000",
"number": "1154745206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CARRETERA 857 & STATE RD 3",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-701-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KM 130.1 CUATRO C",
"address_2": "PASEO DEL FARO PR",
"city": "ARROYO",
"state": "PR",
"postal_code": "00714",
"telephone_number": "787-839-8505",
"fax_number": "787-839-5587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RUSSELL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-10",
"last_updated": "2022-12-20",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arroyo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.