Active NPI
Christian Lance Davis, PHARM.D., MHA
- Pharmacist
- Cincinnati, OH
National Provider Identifier
1215970272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12129
- Practice address
- 11500 Northlake Dr
Suite 200
Cincinnati, OH 45249-1650 - Phone
- (513) 247-4298
- Fax
- (513) 247-4620
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12129 | NC | Primary |
Addresses
Primary practice location
11500 Northlake Dr
Suite 200
Cincinnati, OH 45249-1650
Mailing address
11500 Northlake Dr
Suite 200
Cincinnati, OH 45249-1650
Phone (513) 247-4298
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12129 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248220800000",
"number": "1215970272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11500 NORTHLAKE DR",
"address_2": "SUITE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491650",
"telephone_number": "513-247-4298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 NORTHLAKE DR",
"address_2": "SUITE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452491650",
"telephone_number": "513-247-4298",
"fax_number": "513-247-4620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CHRISTIAN",
"middle_name": "LANCE",
"name_prefix": "Dr.",
"credential": "PHARM.D., MHA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2009-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.