Individual provider Active NPI

Nicholas Benjamin Davis, PHARMD

  • Pharmacist
  • Houston, TX
National Provider Identifier
1871964221
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
49481 Issued in TX
Practice address
9511 Huffmeister Rd Ste 104
Houston, TX 77095-2892
Phone
(281) 660-0523
Fax
(832) 510-4003
NPI assigned
Oct 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 49481 TX Primary

Addresses

Primary practice location

9511 Huffmeister Rd Ste 104
Houston, TX 77095-2892

Mailing address

9511 Huffmeister Rd Ste 104
Houston, TX 77095-2892
Phone (281) 660-0523

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

LicenseStateTypeSpecialty
49481TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nerxd LLC Past Accepting new patients
Vitality Clinic LLC PastSince Apr 20, 2022 Accepting new patients

Organizations & group practices 2

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": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1871964221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 HUFFMEISTER RD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952892",
            "telephone_number": "281-660-0523",
            "fax_number": "832-510-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 HUFFMEISTER RD STE 104",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770952892",
            "telephone_number": "281-660-0523",
            "fax_number": "832-510-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NICHOLAS",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.