Active NPI
Terry Lynn Davis, RPH
- Pharmacist
- Thomasville, AL
National Provider Identifier
1457634537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10347
- Practice address
- 33495 Highway 43
Thomasville, AL 36784-3425 - Phone
- (334) 636-8420
- Fax
- (334) 636-9576
- NPI assigned
- Sep 24, 2011
- Last updated
- Sep 24, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 10347 | AL | Primary |
Addresses
Primary practice location
33495 Highway 43
Thomasville, AL 36784-3425
Mailing address
33495 Highway 43
Thomasville, AL 36784-3425
Phone (334) 636-8420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619145976 | Medicaid | AL |
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 |
|---|---|---|---|
| 10347 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1316822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316822400000",
"number": "1457634537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33495 HIGHWAY 43",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367843425",
"telephone_number": "334-636-8420",
"fax_number": "334-636-9576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33495 HIGHWAY 43",
"city": "THOMASVILLE",
"state": "AL",
"postal_code": "367843425",
"telephone_number": "334-636-8420",
"fax_number": "334-636-9576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TERRY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-24",
"last_updated": "2011-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619145976",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.