Individual provider Active NPI

Davita L Bey, PHARMD

  • Pharmacist
  • Bala Cynwyd, PA
National Provider Identifier
1487860839
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP440478 Issued in PA
Practice address
29 Bala Ave Ste 114
Bala Cynwyd, PA 19004-3206
Phone
(484) 278-4308
Fax
(866) 840-0033
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X A1-0003595 DE
Pharmacist 183500000X RP440478 PA Primary

Addresses

Primary practice location

29 Bala Ave Ste 114
Bala Cynwyd, PA 19004-3206

Mailing address

3750 Lankenau Rd
Philadelphia, PA 19131-2817
Phone (215) 908-7211

Other names 1

  • Dr. Davita L Elliott Former name

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
A1-0003595DEMDPharmacist
RP440478PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1487860839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 LANKENAU RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312817",
            "telephone_number": "215-908-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BALA AVE STE 114",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043206",
            "telephone_number": "484-278-4308",
            "fax_number": "866-840-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEY",
        "first_name": "DAVITA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0003595",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVITA",
            "last_name": "ELLIOTT",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.