Kristina Marie Davis, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP440312 Issued in PA

Practice address

2 Kirby Ave
Mountain Top, PA 18707-1213

Phone

(570) 403-1132

Fax

(570) 403-0403

NPI assigned

Sep 30, 2008

Last updated

Oct 1, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  dba Rite Aid Pharmacy 04990

  • Community/Retail Pharmacy
  • Mountain Top, PA
  • NPI 1679662332
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1942450788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KIRBY AVE",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071213",
            "telephone_number": "570-403-1132",
            "fax_number": "570-403-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KIRBY AVE",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071213",
            "telephone_number": "570-403-1132",
            "fax_number": "570-403-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestwood Pharmacy LLC (Crestwood Pharmacy)
• Crestwood Pharmacy LLC (Crestwood Pharmacy)
• Crestwood School District
• Data Makes the Difference, LLC
• Davis Nursing Home, Inc. (Davis Manor)
• Lisa M Dean, D.M.D.
• Raphael Anthony Delgiorno, D.M.D.
• Trinna Delia
• Robyn M Docherty, LPC
• Robert A. Dompkosky, D.O.

• Pharmacist in Mountain Top, PA
• Providers in Mountain Top, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.