Individual provider Active NPI

Jason R Davis, PHARMD

  • Geriatric Pharmacist
  • Mount Holly Springs, PA
National Provider Identifier
1932405495
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
RP441785 Issued in PA
Practice address
219 N Baltimore Ave
Mount Holly Springs, PA 17065-1204
Phone
(800) 266-9954
Fax
(800) 266-9947
NPI assigned
Feb 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X RP441785 PA Primary

Addresses

Primary practice location

219 N Baltimore Ave
Mount Holly Springs, PA 17065-1204

Mailing address

219 N Baltimore Ave
Mount Holly Springs, PA 17065-1204
Phone (800) 266-9954

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
RP441785PAMDGeriatric Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1932405495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 N BALTIMORE AVE",
            "city": "MOUNT HOLLY SPRINGS",
            "state": "PA",
            "postal_code": "170651204",
            "telephone_number": "800-266-9954",
            "fax_number": "800-266-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N BALTIMORE AVE",
            "city": "MOUNT HOLLY SPRINGS",
            "state": "PA",
            "postal_code": "170651204",
            "telephone_number": "800-266-9954",
            "fax_number": "800-266-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JASON",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "PA",
            "license": "RP441785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.