Active NPI
Robin Ray Davis, RPH
- Pharmacist
- Kenly, NC
National Provider Identifier
1467611749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10063
- Practice address
- 104 East Second Street
Kenly, NC 27542-0147 - Phone
- (919) 284-4106
- Fax
- (919) 284-2717
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10063 | NC | Primary |
| Geriatric Pharmacist | 1835G0303X | 10063 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10063 | NC | |
| Pharmacotherapy Pharmacist | 1835P1200X | 10063 | NC |
Addresses
Primary practice location
104 East Second Street
Kenly, NC 27542-0147
Mailing address
104 East Second Street
PO Box 147
Kenly, NC 27542
Phone (919) 284-4106
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 |
|---|---|---|---|
| 10063 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenly Drug & Pharmacy Inc | Current | Accepting new patients | |
| Kenly Drug & Pharmacy, Inc. | Pharmacist | Current | Accepting new patients |
Locations
104 E 2nd St
Kenly, NC 27542
Phone (919) 284-2333
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kenly, NC
- NPI 1801829221
-
- Pharmacist
- Kenly, NC
- NPI 1770885766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1467611749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 EAST SECOND STREET",
"address_2": "PO BOX 147",
"city": "KENLY",
"state": "NC",
"postal_code": "27542",
"telephone_number": "919-284-4106",
"fax_number": "919-284-2717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 EAST SECOND STREET",
"city": "KENLY",
"state": "NC",
"postal_code": "275420147",
"telephone_number": "919-284-4106",
"fax_number": "919-284-2717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROBIN",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "10063",
"primary": true
},
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NC",
"license": "10063",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "10063",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "10063",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenly, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.