Individual provider Active NPI

Marshall W Davis, RPH

  • Pharmacist
  • Paducah, KY
National Provider Identifier
1659972628
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
007668 Issued in KY
Practice address
250 Lone Oak Rd
Paducah, KY 42001-4400
Phone
(270) 443-1442
Fax
(270) 444-0610
NPI assigned
Nov 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 007668 KY Primary

Addresses

Primary practice location

250 Lone Oak Rd
Paducah, KY 42001-4400

Mailing address

250 Lone Oak Rd
Paducah, KY 42001-4400
Phone (270) 443-1442

Other practice location 1

2855 Lone Oak Rd
Paducah, KY 42003-8041
Phone (270) 554-5099

Other practice location 2

5433 Reidland Rd
Paducah, KY 42003-0954
Phone (270) 898-7313

Other practice location 3

203 E Adair St
Smithland, KY 42081-9164
Phone (270) 928-2552

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
Registered Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Smithland Pharmacy Inc CurrentSince Nov 8, 2020 Accepting new patients
Davis Drugs of Lone Oak Inc Current Accepting new patients
Marshall W Davis Drugs Inc CurrentSince Nov 8, 2020 Accepting new patients
Reidland Pharmacy Inc Past Accepting new patients

Locations

2855 Lone Oak Rd
Paducah, KY 42003
Phone (270) 554-5099

250 Lone Oak Rd
Paducah, KY 42001
Phone (270) 443-1442

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1659972628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014400",
            "telephone_number": "270-443-1442",
            "fax_number": "270-444-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014400",
            "telephone_number": "270-443-1442",
            "fax_number": "270-444-0610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420038041",
            "country_code": "US",
            "telephone_number": "270-554-5099",
            "fax_number": "270-554-5089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5433 Reidland Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420030954",
            "country_code": "US",
            "telephone_number": "270-898-7313",
            "fax_number": "270-898-1999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 E Adair St",
            "address_purpose": "LOCATION",
            "city": "Smithland",
            "state": "KY",
            "postal_code": "420819164",
            "country_code": "US",
            "telephone_number": "270-928-2552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARSHALL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "007668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.