Brian D Davis, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

2005004193 Issued in MO

Practice address

600 Winding Oaks PL
Ballwin, MO 63021-7379

Phone

(314) 210-7121

NPI assigned

Aug 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brian D Davis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1538647250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WINDING OAKS PL",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217379",
            "telephone_number": "314-210-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WINDING OAKS PL",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217379",
            "telephone_number": "314-210-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "2005004193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BOARD OF PHARMACY",
            "identifier": "2005004193",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "DAVIS",
            "middle_name": "D",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Samir Mukundray Dalia, MD
• Vanda Dang, PT
• Deneishion Darby
• Amanda Jillain Darling, D.D.S.
• Darya Mental Health & Assessments LLC
• Sarah Davis, M.D.
• Kay Lynn Day, FNP
• Christopher De Geer, D.C. M.S.
• Darren M Deist, PTA
• Carey Delargy, LCSW

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.