Organization Active NPI

Davidson'S Pharmacy, P.C.

  • Community/Retail Pharmacy
  • Christiansburg, VA
National Provider Identifier
1265469779
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DAVIDSON'S PHARMACY, P.C.
Practice address
1500 N Franklin St
Christiansburg, VA 24073-1412
Phone
(540) 381-9345
Fax
(540) 381-9346
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
David Allen Davidson
Title
President
Phone
(540) 381-9345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 020210038 VA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1500 N Franklin St
Christiansburg, VA 24073-1412

Mailing address

1500 N Franklin St
Christiansburg, VA 24073-1412
Phone (540) 381-9345

Other identifiers 1

IdentifierTypeStateIssuer
008503150MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210125001452 VA Part B Supplier - Mass Immunization (Roster Biller Only) 2961815618 Practice locations: Christiansburg, VA
O20220830002925 VA Part B Supplier - Pharmacy 2961815618 Practice locations: Christiansburg, VA

National Provider Directory

National Provider Directory

Locations

1500 N Franklin St
Christiansburg, VA 24073
Phone (540) 381-9345

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1265469779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N FRANKLIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731412",
            "telephone_number": "540-381-9345",
            "fax_number": "540-381-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N FRANKLIN ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240731412",
            "telephone_number": "540-381-9345",
            "fax_number": "540-381-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON'S PHARMACY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-381-9345"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "020210038",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008503150",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.