Active NPI
George Alan Davis, PHARMD
- Pharmacist
- Lexington, KY
National Provider Identifier
1336559913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010717
- Practice address
- 800 Rose St
RM H110
Lexington, KY 40536-0293 - Phone
- (859) 323-1789
- Fax
- (859) 323-2049
- NPI assigned
- May 5, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010717 | KY | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | 307008443 | KY |
Addresses
Primary practice location
800 Rose St
RM H110
Lexington, KY 40536-0293
Mailing address
800 Rose St
RM H110
Lexington, KY 40536-0293
Phone (859) 323-1789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99-9999999 | Other | UK PRACTICE LOCATION TAX ID |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010717 | KY | MD | Pharmacist |
| 307008443 | KY | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399248000000",
"number": "1336559913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"address_2": "RM H110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360293",
"telephone_number": "859-323-1789",
"fax_number": "859-323-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 ROSE ST",
"address_2": "RM H110",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405360293",
"telephone_number": "859-323-1789",
"fax_number": "859-323-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "GEORGE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-05",
"last_updated": "2014-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "010717",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "KY",
"license": "307008443",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UK PRACTICE LOCATION TAX ID",
"identifier": "99-9999999",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.