Individual provider Active NPI

Jonathan Maximillian Davis

  • Pharmacy Technician
  • San Francisco, CA
National Provider Identifier
1578469698
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PTN.0017584 Issued in CT
Practice address
575 Market St Ste 2800
San Francisco, CA 94105-5843
Phone
(860) 373-8885
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PTN.0017584 CT Primary

Addresses

Primary practice location

575 Market St Ste 2800
San Francisco, CA 94105-5843

Mailing address

6 Rocky Hollow Rd
North Stonington, CT 06359-1633
Phone (860) 373-8885

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

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1578469698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROCKY HOLLOW RD",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591633",
            "telephone_number": "860-373-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MARKET ST STE 2800",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941055843",
            "telephone_number": "860-373-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JONATHAN",
        "middle_name": "MAXIMILLIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CT",
            "license": "PTN.0017584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.