Nicole Renee Davis

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

09203671 Issued in OH

Practice address

3875 Salem Ave
Dayton, OH 45406-1633

Phone

(937) 277-1611

Fax

(937) 275-8893

NPI assigned

Oct 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rite Aid of Ohio Inc

  dba Rite Aid Pharmacy 04748

  • Community/Retail Pharmacy
  • Dayton, OH
  • NPI 1801907910
  NPD (past)

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1205599495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 HARSHMAN RD APT 112",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245267",
            "telephone_number": "937-838-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3875 SALEM AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454061633",
            "telephone_number": "937-277-1611",
            "fax_number": "937-275-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021022700",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "OH",
            "license": "09203671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.r.davis@riteaid.com",
            "affiliation": "N",
            "address_1": "3875 Salem Ave",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454061633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Micah R Davis, D.O.
• Myeisha Davis
• Nanette B. Davis, LSW, MSW
• Natasha Renee Davis, LPN
• Nicole Lynn Davis
• Pauleah A Davis
• Scott Davis
• Shawnta Davis
• Shawnta Sherrie Davis, INDEPENDENT PROVIDER
• Shera Davis, LPN

• Pharmacy Technician in Dayton, OH
• Providers in Dayton, OH by specialty
• Pharmacy Technician in Ohio

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