Organization Active NPI

Davis Compounding Solutions

  • Compounding Pharmacy
  • Davis, CA
National Provider Identifier
1750415469
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
PHY45970 Issued in CA
Legal business name
DAVIS COMPOUNDING SOLUTIONS
Practice address
1205 Drake Dr
Ste E
Davis, CA 95616-0856
Phone
(530) 756-1255
Fax
(530) 756-1253
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Charles Snipes Jr., R.PH.
Title
Owner
Phone
(530) 756-1255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Compounding Pharmacy 3336C0004X PHY45970 CA Primary

Addresses

Primary practice location

1205 Drake Dr
Ste E
Davis, CA 95616-0856

Mailing address

1205 Drake Dr
Ste E
Davis, CA 95616-0856
Phone (530) 756-1255

Other identifiers 2

IdentifierTypeStateIssuer
0582103OtherOTHER ID NUMBER-COMMERCIAL NUMBER
0582103OtherOTHER ID NUMBER

National Provider Directory

National Provider Directory

Locations

1205 Drake Dr
Ste E
Davis, CA 95616
Phone (530) 756-1255

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1750415469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 DRAKE DR",
            "address_2": "STE E",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160856",
            "telephone_number": "530-756-1255",
            "fax_number": "530-756-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DRAKE DR",
            "address_2": "STE E",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956160856",
            "telephone_number": "530-756-1255",
            "fax_number": "530-756-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS COMPOUNDING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "SNIPES",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-756-1255",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "CA",
            "license": "PHY45970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0582103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "0582103",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.