Active NPI
Danielle Lenee Davis, PHARMD
- Pharmacist
- San Bernardino, CA
National Provider Identifier
1841676657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 68743
- Practice address
- 1455 East 3Rd St
San Bernardino, CA 92408-1719 - Phone
- (909) 382-7100
- NPI assigned
- Aug 4, 2015
- Last updated
- Aug 4, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 68743 | CA | Primary |
Addresses
Primary practice location
1455 East 3Rd St
San Bernardino, CA 92408-1719
Mailing address
24745 Stewart St
Loma Linda, CA 92350-1719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH 68743 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Interoperability endpoints
- ddaviskhoromana97381@direct.llu.edu
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1275582918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1841676657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24745 STEWART ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 EAST 3RD ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924081719",
"telephone_number": "909-382-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DANIELLE",
"middle_name": "LENEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 68743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.