Courtney Elizabeth Davis

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

023836 Issued in KY

Practice address

545 Island Ford Rd
Madisonville, KY 42431-8727

Phone

(270) 821-0692

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Madisonville, KY
  • NPI 1700810520
  NPD (past)
• Dillon Companies LLC

  • Community/Retail Pharmacy
  • Fountain, CO
  • NPI 1194524165
  NPD (past)
• Dillon Companies LLC

  • Community/Retail Pharmacy
  • Hutchinson, KS
  • NPI 1689614182
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1376153734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ISLAND FORD RD",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 ISLAND FORD RD",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424318727",
            "telephone_number": "270-821-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "COURTNEY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KS",
            "license": "1-112118",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "023836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna M. D'Amico, M.D.
• John A Dacosta, MD
• Jeanella Daugherty, RN
• Casey Davis, COTA/L
• Charlie Clay Davis, APRN
• Michelle Delane Davis
• Stephanie Rhea Davis
• Tamara Elaine Davis, COTA
• Deaconess Clinc Inc
• Deaconess Clinic Inc

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.