Active NPI
Kaylan Nicole Davis
- Pharmacist
- Lexington, KY
National Provider Identifier
1346972775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022787
- Practice address
- 2350 Grey Lag Way
Lexington, KY 40509-2477 - Phone
- (859) 263-0526
- NPI assigned
- Jun 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 022787 | KY | Primary |
Addresses
Primary practice location
2350 Grey Lag Way
Lexington, KY 40509-2477
Mailing address
708 Pioneer LN
Lexington, KY 40505-4074
Phone (270) 287-7008
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 |
|---|---|---|---|
| 022787 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656028800000",
"number": "1346972775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 PIONEER LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405054074",
"telephone_number": "270-287-7008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 GREY LAG WAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092477",
"telephone_number": "859-263-0526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "KAYLAN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "022787",
"primary": true
}
],
"identifiers": [],
"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 Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.