Christina Suzanne Davenport, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH026154 Issued in GA

Practice address

4075 E First St
Blue Ridge, GA 30513-4526

Phone

(706) 455-2288

NPI assigned

Aug 21, 2017

Last updated

Aug 21, 2017By 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

Other names 1

• Dr. Suzanne Davenport Other name

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

Locations

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.

• Southern Drug Company, Inc

  • Pharmacy
  • Blue Ridge, GA
  • NPI 1831602077
  NPD Authorized official

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503273600000",
    "number": "1982120960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2574",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305130045",
            "telephone_number": "706-455-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 E FIRST ST",
            "city": "BLUE RIDGE",
            "state": "GA",
            "postal_code": "305134526",
            "telephone_number": "706-455-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "CHRISTINA",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "DAVENPORT",
            "prefix": "DR.",
            "credential": "PHARM. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlyn Cropanese
• Hope Cross, LPC
• Erica Crouse, RBT
• Jordan Daniels
• Michael W Darnell, PT
• Marijane Davis, MT
• Rebecca Davis
• Stacey D Davis, DC
• Dean D. Worthingstun, DO, PC (Georgia Foothills Hand Surgery)
• Magalie Dean, D.C.

• Pharmacist in Blue Ridge, GA
• Providers in Blue Ridge, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.