Davison Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DAVISON PHARMACY LLC

Doing business as

Davison Pharmacy

Practice address

1509 S State Rd Ste F
Davison, MI 48423-1966

Phone

(810) 210-6095

NPI assigned

Sep 20, 2022

Last updated

May 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Walsh, PHARMD.NPI 1285058883

Title

Pharmacist in Charge

Phone

(810) 412-4666

Specialties & licenses 1

Addresses

Other names 1

• Davison Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Walsh

  • Pharmacist
  • Davison, MI
  • NPI 1285058883
  NPD Authorized official
• Hirenkumar Amin

  • Pharmacist
  • Davison, MI
  • NPI 1053696633
  NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1720701253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S STATE RD STE F",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231966",
            "telephone_number": "810-412-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S STATE RD STE F",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231966",
            "telephone_number": "810-210-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "810-412-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davison Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davison Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Davison Drug Store Inc (Medicap Pharmacy)
• Davison Family Dentistry (Irish Road Dental)
• Davison Family Dentistry, P.C. (Irish Road Dental)
• Davison Medical Practice PLC
• Davison Pediatrics PC
• Davison Physical Therapy Specialists, LLC
• Davison Urgent Care PC
• Davison Vision Center LLC
• Scott Delange, DPT
• Julie Derby

• Community/Retail Pharmacy in Davison, MI
• Providers in Davison, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.