Active NPI
Jane Q Davis, RPH
- Pharmacist
- Pensacola, FL
National Provider Identifier
1700926136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS29145
- Practice address
- 5151 N 9TH Ave
Pensacola, FL 32504-8721 - Phone
- (850) 416-7140
- Fax
- (850) 416-6167
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PS29145 | FL | Primary |
Addresses
Primary practice location
5151 N 9TH Ave
Pensacola, FL 32504-8721
Mailing address
1110 Park LN
Gulf Breeze, FL 32563-3334
Phone (850) 934-0708
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 |
|---|---|---|---|
| PS29145 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700926136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 PARK LN",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633334",
"telephone_number": "850-934-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 N 9TH AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048721",
"telephone_number": "850-416-7140",
"fax_number": "850-416-6167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JANE",
"middle_name": "Q",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS29145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
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.