Active NPI
Sydney Marie Davis
- Pharmacist
- Oceanside, CA
National Provider Identifier
1619553674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26029508A
- Practice address
- 200 Mercy Circle
Oceanside, CA 92058 - Phone
- (574) 387-0062
- NPI assigned
- Mar 21, 2021
- Last updated
- Aug 24, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pharmacist | 183500000X | 26029508A | IN | Primary |
Addresses
Primary practice location
200 Mercy Circle
Oceanside, CA 92058
Mailing address
200 Mercy Circle
Oceanside, CA 92058
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 |
|---|---|---|---|
| 26029508A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1619553674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92058",
"telephone_number": "574-387-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "SYDNEY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-21",
"last_updated": "2023-08-24",
"certification_date": "2023-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26029508A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.