Active NPI
Jeanine Monique Davis, PHARM D
- Pharmacist
- Kenner, LA
National Provider Identifier
1861567521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16161
- Practice address
- 2136 12TH St
Kenner, LA 70062-6563 - Phone
- (504) 469-5967
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 8, 2007
- 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 | 16161 | LA | Primary |
Addresses
Primary practice location
2136 12TH St
Kenner, LA 70062-6563
Mailing address
2136 12TH St
Kenner, LA 70062-6563
Phone (504) 469-5967
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 |
|---|---|---|---|
| 16161 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861567521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 12TH ST",
"city": "KENNER",
"state": "LA",
"postal_code": "700626563",
"telephone_number": "504-469-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 12TH ST",
"city": "KENNER",
"state": "LA",
"postal_code": "700626563",
"telephone_number": "504-469-5967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JEANINE",
"middle_name": "MONIQUE",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "16161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- 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.