Laura Rose Davis
Individual provider Active NPI Pharmacist · Scotia, NY
NPI 1497078240 · NPPES record last updated Mar 9, 2010
Key facts
- NPI
- 1497078240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 036212 (NY)
- Practice address
- 241 Mohawk Ave
Scotia, NY 12302-2128 - Phone
- (518) 347-2206
- NPI assigned
- Mar 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany, LLC | Past | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036212 | NY | Yes |
Addresses
Primary practice location
241 Mohawk Ave
Scotia, NY 12302-2128
Mailing address
241 Mohawk Ave
Scotia, NY 12302
Phone (518) 347-2206
Other providers in Scotia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.