Individual provider Active NPI

Myra Miller Davis

  • Pharmacist
  • West Jefferson, NC
National Provider Identifier
1194249391
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
27166 Issued in NC
Practice address
1489 Mount Jefferson Rd
West Jefferson, NC 28694-8336
Phone
(336) 246-3119
NPI assigned
Jul 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 27166 NC Primary

Addresses

Primary practice location

1489 Mount Jefferson Rd
West Jefferson, NC 28694-8336

Mailing address

366 Frank McMillan Rd
Scottville, NC 28672-9512
Phone (336) 977-8358

Other practice location 1

1920 W Park Dr
North Wilkesboro, NC 28659-3563
Phone (336) 838-8988

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

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1194249391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 FRANK MCMILLAN RD",
            "city": "SCOTTVILLE",
            "state": "NC",
            "postal_code": "286729512",
            "telephone_number": "336-977-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1489 MOUNT JEFFERSON RD",
            "city": "WEST JEFFERSON",
            "state": "NC",
            "postal_code": "286948336",
            "telephone_number": "336-246-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 W Park Dr",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593563",
            "country_code": "US",
            "telephone_number": "336-838-8988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MYRA",
        "middle_name": "MILLER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.