Active NPI
Davis Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- New Madrid, MO
National Provider Identifier
1194048751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- DAVIS PHARMACY INC
- Practice address
- 415 Mott St
New Madrid, MO 63869-1955 - Phone
- (573) 748-5205
- Fax
- (573) 748-2838
- NPI assigned
- Mar 10, 2010
- Last updated
- Jul 7, 2010
- Organization subpart
- Yes
- Parent organization
- DAVIS PHARMACY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Kay Davis
- Title
- Owner
- Phone
- (573) 748-5205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
415 Mott St
New Madrid, MO 63869-1955
Mailing address
415 Mott St
New Madrid, MO 63869-1955
Phone (573) 748-5205
National Provider Directory
National Provider Directory- Part of
- Davis Pharmacy Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278460800000",
"number": "1194048751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 MOTT ST",
"city": "NEW MADRID",
"state": "MO",
"postal_code": "638691955",
"telephone_number": "573-748-5205",
"fax_number": "573-748-2838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 MOTT ST",
"city": "NEW MADRID",
"state": "MO",
"postal_code": "638691955",
"telephone_number": "573-748-5205",
"fax_number": "573-748-2838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS PHARMACY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAVIS PHARMACY INC",
"enumeration_date": "2010-03-10",
"last_updated": "2010-07-07",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-748-5205"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Madrid, MO
- Best Choice Elder Care LLC
- Bootheel Community Development Corporation
- Bootheel in-Home Care Services, LLC
- Bootheel in-Home Care Services, LLC
- Betty Ann Cagle
- Davis Pharmacy Inc. (Davis Pharmacy)
- Melissa Nicole Eddy-Sides
- Family Matters CDS LLC
- Family Matters Home Services
- Family Matters Home Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.