Active NPI
Kendra L Davis, CPHT, RPHT
- Pharmacy Technician
- Jacksonville, FL
National Provider Identifier
1548838949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 42683
- Practice address
- 4203 Belfort Rd Ste 215
Jacksonville, FL 32216-1416 - Phone
- (904) 296-5870
- Fax
- (904) 296-5871
- NPI assigned
- Jun 14, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 42683 | FL | Primary |
Addresses
Primary practice location
4203 Belfort Rd Ste 215
Jacksonville, FL 32216-1416
Mailing address
13990 Bartram Park Blvd Unit 701
Jacksonville, FL 32258-5549
Phone (786) 910-8938
Other practice location 1
3 Shircliff Way Ste 333
Jacksonville, FL 32204-4790
Phone (904) 296-5870
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kendra.davis1@ascension.org | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42683 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1548838949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13990 BARTRAM PARK BLVD UNIT 701",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585549",
"telephone_number": "786-910-8938",
"fax_number": "904-296-5871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 BELFORT RD STE 215",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161416",
"telephone_number": "904-296-5870",
"fax_number": "904-296-5871"
}
],
"practiceLocations": [
{
"address_1": "3 Shircliff Way Ste 333",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322044790",
"country_code": "US",
"telephone_number": "904-296-5870",
"fax_number": "904-296-5871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KENDRA",
"middle_name": "L",
"credential": "CPHT, RPHT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-14",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "42683",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kendra.davis1@ascension.org",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "work email",
"address_1": "4203 Belfort Rd Ste 215",
"city": "Jacksonville",
"state": "FL",
"country_code": "US",
"postal_code": "322161416",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.