Active NPI
Emily Maureen Davis, RPH
- Pharmacist
- Cowpens, SC
National Provider Identifier
1255640975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12828
- Practice address
- 5401 N Main St
Cowpens, SC 29303 - Phone
- (864) 463-4986
- NPI assigned
- Sep 29, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12828 | SC | Primary |
| Pharmacist | 183500000X | 10426 | NC |
Addresses
Primary practice location
5401 N Main St
Cowpens, SC 29303
Mailing address
1215 Lake Rd
Clover, SC 29710-8407
Phone (803) 222-7431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12828 | Other | SC | STATE PHARMACY LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12828 | SC | MD | Pharmacist |
| 10426 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1255640975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 LAKE RD",
"city": "CLOVER",
"state": "SC",
"postal_code": "297108407",
"telephone_number": "803-222-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N MAIN ST",
"city": "COWPENS",
"state": "SC",
"postal_code": "29303",
"telephone_number": "864-463-4986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "EMILY",
"middle_name": "MAUREEN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "12828",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10426",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACY LICENSE",
"identifier": "12828",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cowpens, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.