Davidson Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

DAVIDSON PHARMACY, LLC

Practice address

203A N 2ND St
Booneville, MS 38829-2701

Phone

(662) 728-4401

Fax

(662) 728-9659

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lauren Davidson Null, RN BSN

Title

Pharmacy Manager

Phone

(662) 728-4401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1811468952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203A N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388292701",
            "telephone_number": "662-728-4401",
            "fax_number": "662-728-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203A N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388292701",
            "telephone_number": "662-728-4401",
            "fax_number": "662-728-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "NULL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DAVIDSON",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "662-728-4401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Booneville, MS
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• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.