Active NPI
Kayla Lesley Davidson, RPH
- Pharmacist
- Simpsonville, SC
National Provider Identifier
1588216360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 42080
- Practice address
- 698 Fairview Rd
Simpsonville, SC 29680-6708 - Phone
- (864) 962-8991
- NPI assigned
- Jul 12, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42080 | SC | Primary |
Addresses
Primary practice location
698 Fairview Rd
Simpsonville, SC 29680-6708
Mailing address
102 Dunsborough Dr
Simpsonville, SC 29680-7670
Phone (864) 313-8197
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42080 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1588216360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 DUNSBOROUGH DR",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296807670",
"telephone_number": "864-313-8197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "698 FAIRVIEW RD",
"city": "SIMPSONVILLE",
"state": "SC",
"postal_code": "296806708",
"telephone_number": "864-962-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "KAYLA",
"middle_name": "LESLEY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-12",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "42080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simpsonville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.