Individual provider Active NPI

Lisa Maria McCoy Davis, PHARMD

  • Pharmacist
  • St Petersburg, FL
National Provider Identifier
1194988683
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0026534 Issued in FL
Practice address
1794 22ND St S
St Petersburg, FL 33712-2752
Phone
(727) 823-2309
Fax
(727) 821-3101
NPI assigned
Jul 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0026534 FL Primary

Addresses

Primary practice location

1794 22ND St S
St Petersburg, FL 33712-2752

Mailing address

4910 34TH St S
St Petersburg, FL 33711-4512
Phone (727) 867-4900

Other identifiers 1

IdentifierTypeStateIssuer
PS0026534OtherFLPHARMACY LICENSE

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

LicenseStateTypeSpecialty
PS0026534FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Scripts Pharmacy LLC PastSince Jul 24, 2022 Accepting new patients
Scripts Pharmacy LLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1194988683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 34TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114512",
            "telephone_number": "727-867-4900",
            "fax_number": "727-867-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1794 22ND ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337122752",
            "telephone_number": "727-823-2309",
            "fax_number": "727-821-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY DAVIS",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-06",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0026534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PS0026534",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.