Active NPI
Angelia M Davis
- Pharmacist
- Houston, TX
National Provider Identifier
1962730739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41139
- Practice address
- 3210 Hillcroft St
Houston, TX 77057-5806 - Phone
- (832) 242-1734
- NPI assigned
- Dec 5, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 41139 | TX | Primary |
Addresses
Primary practice location
3210 Hillcroft St
Houston, TX 77057-5806
Mailing address
5654 Horseshoe FLS
Missouri City, TX 77459-6910
Phone (281) 778-5466
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41139 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259971200000",
"number": "1962730739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5654 HORSESHOE FLS",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774596910",
"telephone_number": "281-778-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3210 HILLCROFT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770575806",
"telephone_number": "832-242-1734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ANGELIA",
"middle_name": "M",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-05",
"last_updated": "2009-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "41139",
"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 Dec 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.