Active NPI
Norman Willard Davis, RPH
- Pharmacist
- Phenix City, AL
National Provider Identifier
1386736502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7498
- Practice address
- 1623 21St CT
Phenix City, AL 36867 - Phone
- (334) 298-4010
- Fax
- (334) 298-0342
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- 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 | 7498 | AL | Primary |
| Pharmacist | 183500000X | 11083 | GA |
Addresses
Primary practice location
1623 21St CT
Phenix City, AL 36867
Mailing address
5008 22ND Ave
Phenix City, AL 36867
Phone (334) 298-5504
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7498 | AL | MD | Pharmacist |
| 11083 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Park Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386736502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5008 22ND AVE",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "36867",
"telephone_number": "334-298-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 21ST CT",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "36867",
"telephone_number": "334-298-4010",
"fax_number": "334-298-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "NORMAN",
"middle_name": "WILLARD",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "7498",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "11083",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.