Edward C Davis III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051031565 Issued in IL

Practice address

940 S Frontage Rd Ste 1900
Woodridge, IL 60517-5033

Phone

(630) 985-7189

Fax

(630) 985-7438

NPI assigned

Feb 8, 2012

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1801168695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4354 186TH ST",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604784593",
            "telephone_number": "708-798-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S FRONTAGE RD STE 1900",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175033",
            "telephone_number": "630-985-7189",
            "fax_number": "630-985-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051031565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Maria Cruz
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• Chandra Srinivas Dachepalli, AUD
• Kaitlin Daltrey
• Mary Anne Damiani, D.O.
• Heaven Davis
• Donna De Paolo, DC
• Decode Genetics Inc.
• Katherine Marie Dejmek, M.A., CF-SLP
• Richard Dan Delcarlo, D.D.S

• Pharmacist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.