Active NPI
Elizabeth Marie Davis, R PH
- Pharmacist
- Cordele, GA
National Provider Identifier
1699837401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 013828
- Practice address
- 716 E 16TH Ave Ste I
Cordele, GA 31015-4517 - Phone
- (229) 273-6660
- Fax
- (229) 271-3890
- NPI assigned
- Dec 15, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 013828 | GA | Primary |
Addresses
Primary practice location
716 E 16TH Ave Ste I
Cordele, GA 31015-4517
Mailing address
650 Grand St
Ashburn, GA 31714-5021
Phone (229) 567-2764
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013828 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apothecary Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Gibson's Discount Drugs
- Community/Retail Pharmacy
- Cordele, GA
- NPI 1326114109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699837401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 GRAND ST",
"city": "ASHBURN",
"state": "GA",
"postal_code": "317145021",
"telephone_number": "229-567-2764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E 16TH AVE STE I",
"city": "CORDELE",
"state": "GA",
"postal_code": "310154517",
"telephone_number": "229-273-6660",
"fax_number": "229-271-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ELIZABETH",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "R PH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "013828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordele, GA
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.