Davidsons Discount Drugs Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0000001971 Issued in TN

Legal business name

DAVIDSONS DISCOUNT DRUGS INC

Practice address

110 Hillcrest Dr
Byrdstown, TN 38549-2323

Phone

(931) 864-3166

Fax

(931) 864-8166

NPI assigned

Jul 22, 2006

Organization subpart

No

Name

Kendle Davdson, RPH

Title

Owner

Phone

(931) 864-3166

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

• Kendle Dwayne Davidson

  • Pharmacist
  • Byrdstown, TN
  • NPI 1467833111
  NPD
• Helen Amber Davidson

  • Pharmacist
  • Byrdstown, TN
  • NPI 1215319934
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in TN

Locations

• DAVIDSONS DISCOUNT DRUGS INC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 20, 2012.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1912928979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HILLCREST DR",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385492323",
            "telephone_number": "931-864-3166",
            "fax_number": "931-864-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HILLCREST DR",
            "city": "BYRDSTOWN",
            "state": "TN",
            "postal_code": "385492323",
            "telephone_number": "931-864-3166",
            "fax_number": "931-864-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSONS DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "DAVDSON",
        "authorized_official_first_name": "KENDLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-864-3166",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000001971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4424305",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVIDSONS DISCOUNT DRUGS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Mae Beaty, CNA
• Clearwater Investments Inc Byrdstown Medical
• Amanda Collier
• Helen Amber Davidson
• Kendle Dwayne Davidson
• Brooke Ann Dowdy, FNP-C
• Firstchoice Family Care
• Firstchoice Family Care
• William T Fryar Jr., F.N.P.
• G3 Home Medical Dba Respiratory Support Services

• All providers in Byrdstown, TN
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.