Active NPI
Regina Dale Davis, P.D.
- Pharmacist
- Hot Springs, AR
National Provider Identifier
1588265805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD07901
- Practice address
- 4019 Central Ave
Hot Springs, AR 71913 - Phone
- (501) 623-7689
- Fax
- (501) 624-3314
- NPI assigned
- Nov 3, 2020
- Sex
- Female
- Sole proprietor
- No
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 | PD07901 | AR | Primary |
Addresses
Primary practice location
4019 Central Ave
Hot Springs, AR 71913
Mailing address
409 Warrier Chief TRL
Hot Springs, AR 71901-8765
Phone (501) 622-0268
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 |
|---|---|---|---|
| PD07901 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1588265805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 WARRIER CHIEF TRL",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719018765",
"telephone_number": "501-622-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4019 CENTRAL AVE",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "71913",
"telephone_number": "501-623-7689",
"fax_number": "501-624-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "REGINA",
"middle_name": "DALE",
"credential": "P.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD07901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.