Active NPI
Ronnie Logan Davis, D.PH.
- Pharmacist
- Vinita, OK
National Provider Identifier
1649341710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8508
- Practice address
- 201 N Scraper St
Vinita, OK 74301-3209 - Phone
- (918) 256-2541
- Fax
- (918) 256-5295
- NPI assigned
- Nov 12, 2006
- Last updated
- Jul 8, 2007
- 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 | 8508 | OK | Primary |
Addresses
Primary practice location
201 N Scraper St
Vinita, OK 74301-3209
Mailing address
201 N Scraper St
Vinita, OK 74301-3209
Phone (918) 256-2541
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 |
|---|---|---|---|
| 8508 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharm Vinita Acquisition LLC | Past | Accepting new patients | |
| Pharm Vinita Acquisition LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649341710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N SCRAPER ST",
"city": "VINITA",
"state": "OK",
"postal_code": "743013209",
"telephone_number": "918-256-2541",
"fax_number": "918-256-5295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N SCRAPER ST",
"city": "VINITA",
"state": "OK",
"postal_code": "743013209",
"telephone_number": "918-256-2541",
"fax_number": "918-256-5295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RONNIE",
"middle_name": "LOGAN",
"credential": "D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "8508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vinita, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.