Organization Active NPI

Davis Drugs, LLC

Doing business as Davis Drugs

  • Long Term Care Pharmacy
  • Attica, IN
National Provider Identifier
1528416807
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
60006316A Issued in IN
Legal business name
DAVIS DRUGS, LLC
Doing business as
Davis Drugs
Practice address
300 S Perry St
Attica, IN 47918-1442
Phone
(765) 762-3287
Fax
(765) 762-0021
NPI assigned
May 27, 2016
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Authorized official

Name
Leslie Davis
Title
Owner
Phone
(765) 762-3287

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X 60006316A IN Primary

Addresses

Primary practice location

300 S Perry St
Attica, IN 47918-1442

Mailing address

300 S Perry St
Attica, IN 47918-1442
Phone (765) 762-3287

Other identifiers 2

IdentifierTypeStateIssuer
201111490AMedicaidIN
2160332OtherPK

Other names 1

  • Davis Drugs Doing business as

National Provider Directory

National Provider Directory

Locations

300 S Perry St
Attica, IN 47918
Phone (765) 762-3287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1528416807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S PERRY ST",
            "city": "ATTICA",
            "state": "IN",
            "postal_code": "479181442",
            "telephone_number": "765-762-3287",
            "fax_number": "765-762-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S PERRY ST",
            "city": "ATTICA",
            "state": "IN",
            "postal_code": "479181442",
            "telephone_number": "765-762-3287",
            "fax_number": "765-762-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DRUGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-762-3287"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "IN",
            "license": "60006316A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201111490A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Attica, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.