Kent Earle Davis, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03786400 Issued in NJ

Practice address

41 Heatherwood LN
Bedminster, NJ 07921-2053

Phone

(267) 337-2232

Fax

(908) 326-3518

NPI assigned

Jan 6, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1154919009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HEATHERWOOD LN",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212053",
            "telephone_number": "267-337-2232",
            "fax_number": "908-326-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 HEATHERWOOD LN",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "079212053",
            "telephone_number": "267-337-2232",
            "fax_number": "908-326-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KENT",
        "middle_name": "EARLE",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS22807",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP034650L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03786400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Cifuentes, PT, DPT
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• Jason Cross, LCSW
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• Danielle Malysa LCSW
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• Tabitha Marie Dickson
• Louis F Digiovine
• Shawn Doucette, R.N.F.A.
• Drift Counseling

• All providers in Bedminster, NJ
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.