Organization Active NPI

Davenport Health Holdings, LLC

Doing business as Cedar Springs Pharmacy

  • Long Term Care Pharmacy
  • Tuttle, OK
National Provider Identifier
1285481416
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
DAVENPORT HEALTH HOLDINGS, LLC
Doing business as
Cedar Springs Pharmacy
Practice address
5310 E Highway 37
Tuttle, OK 73089-8578
Phone
(405) 381-4425
Fax
(405) 835-3814
NPI assigned
May 6, 2024
Last updated
May 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Dr. Joel Patrick Davenport, PHARM.D.NPI 1124372792
Title
Owner/Pharmacist
Phone
(405) 248-8455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

5310 E Highway 37
Tuttle, OK 73089-8578

Mailing address

5310 E Highway 37
Tuttle, OK 73089-8578
Phone (405) 381-4425

Other names 1

  • Cedar Springs Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cedar Springs Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1285481416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E HIGHWAY 37",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898578",
            "telephone_number": "405-381-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 E HIGHWAY 37",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898578",
            "telephone_number": "405-381-4425",
            "fax_number": "405-835-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-05",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "405-248-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Springs Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tuttle, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.