Active NPI
Tom Davis
- Pharmacist
- Eads, CO
National Provider Identifier
1295290484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0330000001
- Practice address
- 1201 Maine St
Eads, CO 81036-9900 - Phone
- (719) 438-5832
- Fax
- (719) 438-5592
- NPI assigned
- Feb 1, 2019
- Last updated
- Feb 1, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 0330000001 | CO | Primary |
Addresses
Primary practice location
1201 Maine St
Eads, CO 81036-9900
Mailing address
PO Box 10
Eads, CO 81036-0010
Phone (719) 438-5832
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0330000001 | CO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Services Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1295290484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10",
"city": "EADS",
"state": "CO",
"postal_code": "810360010",
"telephone_number": "719-438-5832",
"fax_number": "719-438-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MAINE ST",
"city": "EADS",
"state": "CO",
"postal_code": "810369900",
"telephone_number": "719-438-5832",
"fax_number": "719-438-5592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TOM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-01",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "0330000001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eads, CO
- County of Kiowa Hospital District (Weisbrod Health)
- County of Kiowa Hospital District (Weisbrod Clinic)
- County of Kiowa Hospital District (Kiowa County Hospital District Extended Care Unit)
- County of Kiowa Hospital District (Weisbrod Health)
- Renay Marie Crain, RN
- Chanelle L Duvall, PHARMD
- Sharon L Hendricks, DNP/ENP/FNP/AGACNP
- High Plains Community Health Center Incorporated (High Plains Eads)
- High Plains Community Health Center Incorporated
- Abby Huff, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.