Davis Drug

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201004461 Issued in VA

Legal business name

DAVIS DRUG

Practice address

2100 Executive Dr
Hampton, VA 23666-2402

Phone

(757) 745-7440

Fax

(757) 745-7441

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Dwain WilkersonNPI 1205164779

Title

President/Pharmacist

Phone

(757) 651-9440

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Davis Drug Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dwain Davis Wilkerson, PHARM.D

  • Pharmacist
  • Fort Carson, CO
  • NPI 1205164779
  NPD (past) Authorized official

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1851663629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EXECUTIVE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662402",
            "telephone_number": "757-745-7440",
            "fax_number": "757-745-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EXECUTIVE DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662402",
            "telephone_number": "757-745-7440",
            "fax_number": "757-745-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DRUG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "WILKERSON",
        "authorized_official_first_name": "DWAIN",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST",
        "authorized_official_telephone_number": "757-651-9440"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004461",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yash Dave
• William L Davenport, D.D.S.
• David'S Hope House, LLC
• James Ryan Davidson, LPC
• John Barry Davidson Jr., M.D.
• Aatika Davis, OTR
• Alexandra Grace Davis, MD
• Beverly Robinson Davis, MA,OTR/L
• Danielle De Jaunna Davis, CNM
• Harry Davis, LPC

• Community/Retail Pharmacy in Hampton, VA
• Providers in Hampton, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.