Active NPI
Jeffrey Paul Davis, PHARM.D.
- Pharmacist
- Wheeling, WV
National Provider Identifier
1174958813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0008193
- Practice address
- 111 Kruger St
Wheeling, WV 26003-5120 - Phone
- (304) 242-9306
- Fax
- (304) 242-9462
- NPI assigned
- Sep 12, 2013
- 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 | RP0008193 | WV | Primary |
Addresses
Primary practice location
111 Kruger St
Wheeling, WV 26003-5120
Mailing address
56 Harley LN
New Cumberland, WV 26047-3156
Phone (304) 670-8107
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 |
|---|---|---|---|
| RP0008193 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Brothers Pharmacy, Inc. | Current | Accepting new patients | |
| Davis Brothers Pharmacy Inc | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Chester, WV
- NPI 1083156863
-
- Community/Retail Pharmacy
- New Cumberland, WV
- NPI 1154722064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378944000000",
"number": "1174958813",
"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": "111 KRUGER ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035120",
"telephone_number": "304-242-9306",
"fax_number": "304-242-9462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEFFREY",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-12",
"last_updated": "2013-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.