Active NPI
Bo Davis, PHARM D.
- Pharmacist
- Lockhart, TX
National Provider Identifier
1407452113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53069
- Practice address
- 403 S Colorado St
Lockhart, TX 78644-2702 - Phone
- (512) 398-6797
- NPI assigned
- Dec 8, 2020
- Last updated
- Dec 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53069 | TX | Primary |
Addresses
Primary practice location
403 S Colorado St
Lockhart, TX 78644-2702
Mailing address
403 S Colorado St
Lockhart, TX 78644-2702
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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 |
|---|---|---|---|
| 53069 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | 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": "1607385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607385600000",
"number": "1407452113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S COLORADO ST",
"city": "LOCKHART",
"state": "TX",
"postal_code": "786442702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S COLORADO ST",
"city": "LOCKHART",
"state": "TX",
"postal_code": "786442702",
"telephone_number": "512-398-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BO",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-08",
"last_updated": "2020-12-08",
"certification_date": "2020-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "53069",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "403 S Colorado St",
"city": "Lockhart",
"state": "TX",
"country_code": "US",
"postal_code": "786442702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lockhart, TX
- Connect Transit LLC
- Melissa Michele Contreras, LPC
- Michelle Stephanie Cosme, DDS
- Crescent Dental-Lockhart PLLC
- Suzanna Dana, M.D.
- Christopher Andrew Day, PA-C
- Vanessa De Leon
- Dorothy A Dean, FNP-BC/PMHNP
- Carol Arlene Dettmann, RN, MSN, FNP
- Dewitt Medical District (Chisolm Trail Nursing and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.