Individual provider Active NPI

Robin Ray Davis, RPH

  • Pharmacist
  • Kenly, NC
National Provider Identifier
1467611749
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10063 Issued in NC
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

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
10063NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.