Active NPI
Isabel Marie Davis, PHARMD
- Pharmacist
- Peoria, AZ
National Provider Identifier
1225792864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025525
- Practice address
- 10727 W Olive Ave
Peoria, AZ 85345-9202 - Phone
- (623) 815-8074
- NPI assigned
- Oct 29, 2021
- Sex
- Female
- 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 | S025525 | AZ | Primary |
Addresses
Primary practice location
10727 W Olive Ave
Peoria, AZ 85345-9202
Mailing address
9450 W Cabela Dr Apt 1207
Glendale, AZ 85305-1310
Phone (661) 246-6881
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 |
|---|---|---|---|
| S025525 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Current | Accepting new patients |
Locations
10727 W Olive Ave
Peoria, AZ 85345
Phone (623) 815-8074
Organizations & group practices 1
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": "1635465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1225792864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9450 W CABELA DR APT 1207",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853051310",
"telephone_number": "661-246-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10727 W OLIVE AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853459202",
"telephone_number": "623-815-8074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ISABEL",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-29",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.