Active NPI
Daniella Davis, PHARM D
- Pharmacist
- Port St Lucie, FL
National Provider Identifier
1497184543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH25832
- Practice address
- 10855 S US Highway 1
Walmart Pharmacy
Port St Lucie, FL 34952-6410 - Phone
- (772) 335-1557
- Fax
- (772) 335-1559
- NPI assigned
- Nov 8, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS41053 | FL | |
| Pharmacist | 183500000X | PH25832 | MA | Primary |
Addresses
Primary practice location
10855 S US Highway 1
Walmart Pharmacy
Port St Lucie, FL 34952-6410
Mailing address
10855 S US Highway 1
Walmart Pharmacy
Port St Lucie, FL 34952-6410
Phone (772) 335-1557
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS41053 | FL | MD | Pharmacist |
| PH25832 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1497184543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10855 S US HIGHWAY 1",
"address_2": "WALMART PHARMACY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349526410",
"telephone_number": "772-335-1557",
"fax_number": "772-335-1559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10855 S US HIGHWAY 1",
"address_2": "WALMART PHARMACY",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349526410",
"telephone_number": "772-335-1557",
"fax_number": "772-335-1559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DANIELLA",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-08",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41053",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH25832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.