Active NPI
Sherril Davidow, R.PH
- Pharmacist
- Indian Wells, CA
National Provider Identifier
1457704876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42688
- Practice address
- 74955 US Highway 111
Indian Wells, CA 92210-7136 - Phone
- (760) 346-4464
- Fax
- (760) 773-4837
- NPI assigned
- Jul 20, 2016
- Last updated
- Jul 20, 2016
- 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 | 42688 | CA | Primary |
Addresses
Primary practice location
74955 US Highway 111
Indian Wells, CA 92210-7136
Mailing address
74955 US Highway 111
Indian Wells, CA 92210-7136
Phone (760) 346-4464
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 |
|---|---|---|---|
| 42688 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | 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": "1468972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1457704876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74955 US HIGHWAY 111",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922107136",
"telephone_number": "760-346-4464",
"fax_number": "760-773-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74955 US HIGHWAY 111",
"city": "INDIAN WELLS",
"state": "CA",
"postal_code": "922107136",
"telephone_number": "760-346-4464",
"fax_number": "760-773-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDOW",
"first_name": "SHERRIL",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "42688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indian Wells, CA
- Doriana Cosgrove, MD
- Richard Henry Culhane, MD
- Curtis & Associates Diagnostic Radiology Medical Group Inc
- Stephen Jon Curtis Sr., MD
- Daniel S Cosgrove, MD, PC (WellMax Center for Preventive Medicine)
- Vincent De Francisco, OD
- Amy Marlen Delgado
- Desert Medical Imaging, a Medical Corporation (Desert Medical Imaging)
- Desert Positron Imaging Center, LLC (The PET Center)
- Daniela Janel Diaz
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.