Brittany Elaine Davis, PHARMD

Individual provider Active NPI Pharmacist · Gate City, VA

NPI 1790397222 · NPPES record last updated Dec 22, 2022

Key facts

NPI
1790397222
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
40348 (TN)
Practice address
119 E Jackson St
Gate City, VA 24251-3418
Phone
(423) 272-9986
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
40348TNMDPharmacist
0202215402VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Aug 1, 2020
Accepting new patients
Walgreen Co Past
since Mar 20, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202215402 VA
Pharmacist 183500000X 26559 NC
Pharmacist 183500000X 40348 TN Yes

Addresses

Primary practice location

119 E Jackson St
Gate City, VA 24251-3418

Mailing address

119 E Jackson St
Gate City, VA 24251-3418
Phone (276) 386-3821

Other providers in Gate City, VA

All providers in Gate City, VA · Pharmacist in Virginia

Sources for this page

Verify at the official NPI Registry.