Gregory Allen Davis
Individual provider Active NPI Pharmacist · Jonesboro, AR
NPI 1386534089 · NPPES record last updated Jul 7, 2025
Key facts
- NPI
- 1386534089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PD07346 (AR)
- Practice address
- 110 Southwest Dr
Jonesboro, AR 72401-5827 - Phone
- (870) 268-1743
- NPI assigned
- Jul 7, 2025
- 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 |
|---|---|---|---|
| PD07346 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas CVS Pharmacy LLC | Past |
Accepting new patients | |
| Arkansas CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD07346 | AR | Yes |
Addresses
Primary practice location
110 Southwest Dr
Jonesboro, AR 72401-5827
Mailing address
7021 E Johnson Ave
Brookland, AR 72417-8990
Phone (870) 926-0569
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2025. 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.