Active NPI
Paul Davis, PHARMD
- Pharmacotherapy Pharmacist
- Tucson, AZ
National Provider Identifier
1629694914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 3168173
- Practice address
- 3601 S 6TH Ave
Tucson, AZ 85723-0001 - Phone
- (520) 792-1450
- NPI assigned
- Jun 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | S025355 | AZ | |
| Pharmacotherapy Pharmacist | 1835P1200X | 3168173 | AZ | Primary |
Addresses
Primary practice location
3601 S 6TH Ave
Tucson, AZ 85723-0001
Mailing address
5755 E River Rd Apt 3126
Tucson, AZ 85750-6726
Phone (208) 431-0477
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S025355 | AZ | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 3168173 | AZ | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1629694914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5755 E RIVER RD APT 3126",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857506726",
"telephone_number": "208-431-0477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S 6TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857230001",
"telephone_number": "520-792-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "PAUL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-22",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AZ",
"license": "S025355",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "AZ",
"license": "3168173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.