Charles E Davis, RPH, DPH, MD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5385 Issued in SC

Practice address

106 Jimmy Martin Cir
Gaston, SC 29053-9242

Phone

(803) 794-5233

NPI assigned

Oct 3, 2012

Last updated

Oct 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary G Davis Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1871845644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 TARRYTOWN LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291703545",
            "telephone_number": "803-794-1581",
            "fax_number": "803-794-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JIMMY MARTIN CIR",
            "city": "GASTON",
            "state": "SC",
            "postal_code": "290539242",
            "telephone_number": "803-794-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "RPH, DPH, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "5385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DAVIS",
            "middle_name": "G",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Gaston, SC
• Providers in Gaston, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.