Active NPI
Brooklynn Ridgeway Davis, PHARMD
- Pharmacist
- Watkinsville, GA
National Provider Identifier
1871185363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022549
- Practice address
- 1160 Capital Ave
Suite 101
Watkinsville, GA 30677 - Phone
- (706) 769-1275
- NPI assigned
- Feb 7, 2021
- 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 | RPH022549 | GA | Primary |
Addresses
Primary practice location
1160 Capital Ave
Suite 101
Watkinsville, GA 30677
Mailing address
1160 Capital Ave
Suite 101
Watkinsville, GA 30677
Phone (706) 769-1275
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | farmersoconee@bellsouth.net | Direct |
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 |
|---|---|---|---|
| RPH022549 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oconee Roots Pharmacy, LLC | Pharmacist | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1871185363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 CAPITAL AVE",
"address_2": "SUITE 101",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "30677",
"telephone_number": "706-769-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 CAPITAL AVE",
"address_2": "SUITE 101",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "30677",
"telephone_number": "706-769-1275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "BROOKLYNN",
"middle_name": "RIDGEWAY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-07",
"last_updated": "2024-04-30",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022549",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "farmersoconee@bellsouth.net",
"affiliation": "N",
"endpointDescription": "Email address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1160 Capital Ave",
"address_2": "Suite 101",
"city": "Watkinsville",
"state": "GA",
"country_code": "US",
"postal_code": "30677",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.