Phillip Roman Davis, PHARMD

Primary specialty

Clinical Pharmacology PhysicianTaxonomy code 208U00000X

License

RP00008957 Issued in NM

Practice address

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Phone

(505) 913-5707

Fax

(505) 913-6452

NPI assigned

Jul 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1508419623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 GIRARD BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062014",
            "telephone_number": "262-501-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SAINT MICHAELS DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875057601",
            "telephone_number": "505-913-5707",
            "fax_number": "505-913-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "PHILLIP",
        "middle_name": "ROMAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "NM",
            "license": "RP00008957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "RP00008957",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillip.davis@stvin.org",
            "affiliation": "N",
            "endpointDescription": "Secure hospital email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "455 Saint Michaels Dr",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875057601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jefferson K Davis, M.D.
• Julia Christine Davis, PA.
• Kim C Davis, MS, CFY-SLP
• Kindra Ann Davis, M.S., CCC-SLP
• Martha Walter Davis, LPCC
• Tammy Davis
• Teresa Davis
• Wayne Davis
• Holly Davisborrero, LMFT, LMHC
• Daybreak Councelors, LLC (Daybreak Counselors)

• Clinical Pharmacology Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Pharmacology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.