Paul Dwight Davenport, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

25530 Issued in TX

Practice address

697 Hospital Rd
7 MDSS Sgsap
Dyess Afb, TX 79607

Phone

(325) 696-6465

Fax

(325) 696-3359

NPI assigned

Jan 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407905102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 STONECREST DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063445",
            "telephone_number": "325-696-6465",
            "fax_number": "325-696-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 HOSPITAL RD",
            "address_2": "7 MDSS SGSAP",
            "city": "DYESS AFB",
            "state": "TX",
            "postal_code": "79607",
            "telephone_number": "325-696-6465",
            "fax_number": "325-696-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "PAUL",
        "middle_name": "DWIGHT",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "25530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Colvin, DO
• Bradley James Connahey
• Darren D Cook, LCDC
• Jefferson Tyler Cowling, D.D.S.
• Darren James Damiani, FNP-C
• Tamatha Dayberry, APRN, FNP-BC
• Micah Thomas Easterling, PT ,DPT,OCS
• Alicia W Edwards, MSW
• Ashley Marie Ertel, MSW
• Jessica M Eveleth, PHARMD

• Pharmacist in Dyess Afb, TX
• Providers in Dyess Afb, TX by specialty
• Pharmacist in Texas

• 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.

Verify at the official NPI Registry.