Dennis Wilson Davis III, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

124957 Issued in MN

Practice address

2018 15TH St NW
Rochester, MN 55901-0716

Phone

(507) 281-1676

Fax

(507) 281-2953

NPI assigned

Jul 22, 2020

Last updated

Oct 30, 2020By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• Thrifty Drug Stores Inc

  dba Thrifty White Pharmacy #795

  • Community/Retail Pharmacy
  • Wadena, MN
  • NPI 1710678545
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1811505118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4878 170TH LN NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553041717",
            "telephone_number": "763-807-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 15TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559010716",
            "telephone_number": "507-281-1676",
            "fax_number": "507-281-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DENNIS",
        "middle_name": "WILSON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "124957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICESNE",
            "identifier": "124957",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Marie Austin Davis, MD
• Amanda Zahasky Davis, PHARMD
• Brian J Davis, M.D.
• Cameron Davis, PA
• Dawn Marie R Davis, M.D.
• Dudley H. Davis, M.D.
• Ethan J Davis
• Fred Paul Davis IV, DO
• Gloria Louise Davis, CRNA
• Jacqueline Davis, RN

• Pharmacist in Rochester, MN
• Providers in Rochester, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.