William Allan Davis, D.PH.
Individual provider Active NPI Pharmacist · McMinnville, TN
NPI 1306135207 · NPPES record last updated Mar 31, 2011
Key facts
- NPI
- 1306135207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- C-5332 (TN)
- Practice address
- 1410 Sparta St
McMinnville, TN 37110-1313 - Phone
- (931) 473-0788
- Fax
- (931) 506-2442
- NPI assigned
- Mar 31, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-5332 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past | Accepting new patients | |
| Kroger Limited Partnership I | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | C-5332 | TN | Yes |
Addresses
Primary practice location
1410 Sparta St
McMinnville, TN 37110-1313
Mailing address
1410 Sparta St
McMinnville, TN 37110-1313
Phone (931) 473-0788
Other providers in McMinnville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.