Active NPI
Jeffrey Davis
- Pharmacist
- Leland, NC
National Provider Identifier
1609248749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25235
- Practice address
- 1112 New Pointe Blvd
Leland, NC 28451-4115 - Phone
- (910) 383-1302
- Fax
- (910) 383-1269
- NPI assigned
- Oct 28, 2015
- Last updated
- Oct 13, 2024
- Sex
- Male
- 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 | 25235 | NC | Primary |
Addresses
Primary practice location
1112 New Pointe Blvd
Leland, NC 28451-4115
Mailing address
461 Western Blvd
Unit #122
Jacksonville, NC 28546
Phone (910) 347-3535
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 |
|---|---|---|---|
| 25235 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728777600000",
"number": "1609248749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 WESTERN BLVD",
"address_2": "UNIT #122",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28546",
"telephone_number": "910-347-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 NEW POINTE BLVD",
"city": "LELAND",
"state": "NC",
"postal_code": "284514115",
"telephone_number": "910-383-1302",
"fax_number": "910-383-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-28",
"last_updated": "2024-10-13",
"certification_date": "2024-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leland, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.