Active NPI
Spencer Thomas Davila, RPH
- Pharmacist
- Spring Valley, NY
National Provider Identifier
1265617732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042143
- Practice address
- 208 East Route 59
Spring Valley, NY 10977-2910 - Phone
- (845) 352-7865
- NPI assigned
- Jan 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | 042143 | NY | Primary |
Addresses
Primary practice location
208 East Route 59
Spring Valley, NY 10977-2910
Mailing address
19 Hereford LN
New City, NY 10956-6606
Phone (845) 323-4446
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 |
|---|---|---|---|
| 042143 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Spring Valley, NY
- NPI 1821369893
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- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1265617732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HEREFORD LN",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109566606",
"telephone_number": "845-323-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 EAST ROUTE 59",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109772910",
"telephone_number": "845-352-7865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "SPENCER",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.