Dustin Davis

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

5303006672 Issued in MI

Practice address

161 Beech Street
Harrison, MI 48625

Phone

(989) 539-4380

Fax

(989) 539-2878

NPI assigned

Aug 15, 2022

Sex

Male

Sole proprietor

No

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

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 Michigan Inc

  • Community/Retail Pharmacy
  • Harrison, MI
  • NPI 1396854857
  NPD (past)
• Rite Aid of Michigan Inc

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1245968478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 376",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486250376",
            "telephone_number": "989-539-4380",
            "fax_number": "989-539-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 BEECH STREET",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "48625",
            "telephone_number": "989-539-4380",
            "fax_number": "989-539-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303006672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Colville, LMSW
• Kasie Cooper, LLBSW
• Lisa Marie Cooper
• Kaitlyn Heather Corell, BSW
• Paul W Cronstrom, M.A.
• Christopher Decastro, DO
• Shylo Delashmit
• Janeen Noella Dubey, LLP
• Jennifer Dunlop, BA
• Matthew Bernard Dussia, LMSW

• All providers in Harrison, MI
• Pharmacy Technician in Michigan

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

Verify at the official NPI Registry.