Deborah J Davenport, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-3-15735 Issued in OH

Practice address

19999 Rockside Rd
Bedford, OH 44146-2074

Phone

(440) 439-6622

NPI assigned

Aug 31, 2006

Sex

Female

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

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801907381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 LOGAN LN",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872806",
            "telephone_number": "330-487-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19999 ROCKSIDE RD",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441462074",
            "telephone_number": "440-439-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "DEBORAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-15735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cuyahoga County BD of MRDD
• Cuyahoga County BD. of MRDD
• Cuyahoga County BD. of MRDD
• Frank Carl Dachtler, DC
• Zaire Darden
• Gwendolyn Davis
• Lucrestia Dianna Davis, RN, BSN
• Michael A Davis
• Roberta Davis, COTA
• Tasha Davis

• Pharmacist in Bedford, OH
• Providers in Bedford, OH by specialty
• Pharmacist in Ohio

• 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.