Greg W Davis, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26691 Issued in CA

Practice address

2655 Mediros LN
Clearlake, CA 95422-8179

Phone

(707) 350-0239

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760536080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4446",
            "address_2": "2566 MEDIROS LN",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954224446",
            "telephone_number": "707-350-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 MEDIROS LN",
            "city": "CLEARLAKE",
            "state": "CA",
            "postal_code": "954228179",
            "telephone_number": "707-350-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GREG",
        "middle_name": "W",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "26691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Lake Public Health Department
• Sonjia Rae Crabtree
• Camille Monae Cummins
• Alissa Tiana Danelia I
• Destiny Noelle Darbazanjian I
• Jeffrey James Day, LVN
• Yadira De Luna
• Mark Defren, LPT/CA
• Sonja Derose, MD
• Vishal V Desai

• Pharmacist in Clearlake, CA
• Providers in Clearlake, CA by specialty
• Pharmacist in California

• 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.

Verify at the official NPI Registry.