G. L. Davis Drug Inc

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

022242050 Issued in OH

Legal business name

G. L. DAVIS DRUG INC

Doing business as

Davis Drug

Practice address

109 West St
Suite a
Caldwell, OH 43724-1359

Phone

(740) 305-5099

Fax

(740) 305-5099

NPI assigned

Dec 13, 2012

Last updated

Dec 13, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

G. L. DAVIS DRUG INCAs reported in NPPES

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

Authorized official

Name

Dan Sidwell, RPH

Title

Pharmacis in Charge

Phone

(740) 305-5099

Specialties & licenses 3

Addresses

Other names 1

• Davis Drug Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

G L Davis Drug Inc2 organizations share this tax ID, including this one

Part of

G L Davis Drug Inc

Other organizations with this tax ID 1

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

• G L Davis Drug Inc.

  • Pharmacotherapy Pharmacist
  • Caldwell, OH
  • NPI 1760580765
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• G L Davis Drug Inc.

  • Pharmacotherapy Pharmacist
  • Caldwell, OH
  • NPI 1760580765
  NPPES parent name

Practitioners 1

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.

• Heather Renee Arnold, RPH

  • Pharmacist
  • Tucson, AZ
  • NPI 1851621999
  NPD

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1306182720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WEST ST",
            "address_2": "SUITE A",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437241359",
            "telephone_number": "740-305-5099",
            "fax_number": "740-305-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WEST ST",
            "address_2": "SUITE A",
            "city": "CALDWELL",
            "state": "OH",
            "postal_code": "437241359",
            "telephone_number": "740-305-5099",
            "fax_number": "740-305-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. L. DAVIS DRUG INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "G. L. DAVIS DRUG INC",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "SIDWELL",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "PHARMACIS IN CHARGE",
        "authorized_official_telephone_number": "740-305-5099",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "022242050",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "OH",
            "license": "022242050",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OH",
            "license": "022242050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Infusion Therapy Pharmacy in Caldwell, OH
• Providers in Caldwell, OH by specialty
• Home Infusion Therapy Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.