Davis Drugs of Lone Oak Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DAVIS DRUGS OF LONE OAK INC

Practice address

2855 Lone Oak Rd
Paducah, KY 42003-8041

Phone

(270) 554-5099

Fax

(270) 554-5089

NPI assigned

Feb 4, 2006

Organization subpart

No

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

Authorized official

Name

Marshall W. Davis, R.PH.NPI 1659972628

Title

Pres.

Phone

(270) 554-5099

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Davis Drugs Lone Oak Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Marshall W Davis, RPH

  • Pharmacist
  • Paducah, KY
  • NPI 1659972628
  NPD Authorized official

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1174595003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7707",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027707",
            "telephone_number": "270-554-5099",
            "fax_number": "270-554-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038041",
            "telephone_number": "270-554-5099",
            "fax_number": "270-554-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DRUGS OF LONE OAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-04",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "270-554-5099",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "6872",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "KY",
            "license": "6872",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54005228",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1828017",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90008533",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Drugs Lone Oak",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davis Drugs Lone Oak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Davenport, M.D.
• David J, Elrod, DMD. a Professional Service Corporation
• David M. West MD PSC
• Heidi Atkinson Davies, APRN
• Theodore Edwin Clyde Davies, M.D.
• Anthony K Davis, MD
• Bethany Ann Davis
• Brittney Lynn Davis, LPCA
• Charles King Davis Jr., MD
• Cody Davis, PHARMD

• Community/Retail Pharmacy in Paducah, KY
• Providers in Paducah, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.