Active NPI
Larry Thomas Davis, RPH
- Pharmacist
- Valdosta, GA
National Provider Identifier
1992802813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHRE007971
- Practice address
- 1105 Madison Highway
Valdosta, GA 31601 - Phone
- (229) 242-0253
- Fax
- (229) 259-9029
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- 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 | PHRE007971 | GA | Primary |
Addresses
Primary practice location
1105 Madison Highway
Valdosta, GA 31601
Mailing address
911 Madison Ave
Valdosta, GA 31602
Phone (229) 242-6271
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 |
|---|---|---|---|
| PHRE007971 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992802813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 MADISON AVE",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31602",
"telephone_number": "229-242-6271",
"fax_number": "229-259-9029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 MADISON HIGHWAY",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "31601",
"telephone_number": "229-242-0253",
"fax_number": "229-259-9029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LARRY",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "PHRE007971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.