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
- 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Eads, CO
- NPI 1477639037
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
- County of Kiowa Hospital District
- County of Kiowa Hospital District
- County of Kiowa Hospital District
- Renay Marie Crain, RN
- Chanelle L Duvall, PHARMD
- Sharon L Hendricks, DNP/ENP/FNP/AGACNP
- High Plains Community Health Center Incorporated
- 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.