Kimberly Michelle Page-Davis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 022312 Issued in GA

Practice address

2945 Panola Rd
Lithonia, GA 30038-2313

Phone

(770) 322-8486

Fax

(770) 322-7410

NPI assigned

Sep 24, 2011

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1295018372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 EDENHAM LN",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417081",
            "telephone_number": "404-731-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 PANOLA RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382313",
            "telephone_number": "770-322-8486",
            "fax_number": "770-322-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE-DAVIS",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH 022312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.