Organization Active NPI

Davis Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • New Madrid, MO
National Provider Identifier
1194048751
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVIS PHARMACY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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)CodeLicenseStatePrimary
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

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.

Verify at the official NPI Registry.