Simona Davis, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303002939 Issued in MI

Practice address

2107 S 11TH St
Niles, MI 49120-4060

Phone

(269) 683-5573

Fax

(269) 683-7621

NPI assigned

Mar 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1205411832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 FULTON ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071427",
            "telephone_number": "269-262-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 S 11TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204060",
            "telephone_number": "269-683-5573",
            "fax_number": "269-683-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SIMONA",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303002939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandice Danzy
• David R. Cleppe, D.D.S., PC
• Cynthia C Davis, PH.D,C.HT
• Deborah Lavonne Davis, LLMSW
• Jacob Davis, PHARM.D
• Jersie Dawson
• Filipe De Paula Santos
• Josie Maria Dejong, MA LPC SCL NCC
• Bobbie Denney
• Paul V Detrisac, MD

• Pharmacy Technician in Niles, MI
• Providers in Niles, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.