Patricia Davis
Individual provider Active NPI Pharmacist · Halifax, MA
NPI 1225638802 · NPPES record last updated Oct 31, 2020
Key facts
- NPI
- 1225638802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH20517 (MA)
- Practice address
- 295 Plymouth St
Halifax, MA 02338-1340 - Phone
- (781) 294-7001
- Fax
- (781) 294-1433
- NPI assigned
- Oct 31, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH20517 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past |
Accepting new patients | |
| Wal-Mart Stores East, LP | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH20517 | MA | Yes |
Addresses
Primary practice location
295 Plymouth St
Halifax, MA 02338-1340
Mailing address
449 Elm St
Kingston, MA 02364-1805
Phone (781) 690-3483
Other providers in Halifax, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.