Active NPI
Johnny Durrell Davis, RPH
- Pharmacist
- Paris, TX
National Provider Identifier
1952902587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35613
- Practice address
- 3855 Lamar Ave
Paris, TX 75462-5210 - Phone
- (903) 785-8734
- NPI assigned
- Nov 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35613 | TX | Primary |
Addresses
Primary practice location
3855 Lamar Ave
Paris, TX 75462-5210
Mailing address
625 Nicole Dr
Paris, TX 75462-6029
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35613 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1952902587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 NICOLE DR",
"city": "PARIS",
"state": "TX",
"postal_code": "754626029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 LAMAR AVE",
"city": "PARIS",
"state": "TX",
"postal_code": "754625210",
"telephone_number": "903-785-8734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOHNNY",
"middle_name": "DURRELL",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "35613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
- Candice Daughtrey, APRN, FNP-C
- David a. Carpenter,M.D.,P.a.
- David Ashley MD DMD Oral Surgery Group, a Professional Dental Corporation (Oral Surgery and Wisdom Teeth of Paris)
- Kimberly Ann Davidson, LVN
- Carolyn Davis, RN FNPC
- Krystal Davis
- Roshan Denise Davis
- Susan Elaine Gandy Davis, PT
- Ashley Ladon Day, PTA
- David J De la Garza, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.