MA DAVIS ENTERPRISES, LLC (NPI# 1083107205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083107205 |
| Entity Type | Organization |
| Organization Name | MA DAVIS ENTERPRISES, LLC |
| Other Organization Name | NEWBERN DRUG HEALTHMART |
| Practice Address |
625 W Main St. Suite A. Newbern TN 38059 |
| Mailing Address |
625 W Main St Suite A Newbern TN 38059 |
| Practice Telephone | 7316279573 |
| Practice Fax Number | 7316273051 |
| Mailing Telephone | 7316279573 |
| Mailing Fax Number | 7316273051 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |
| Authorized Official Name | MR. MARK ANTHONY DAVIS (OWNER) |
| Authorized Official Telephone | 7315890206 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | Y |
| Parent Organization Name | MA DAVIS ENTERPRISES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TN | Suppliers |
| Other Name | Type Code |
|---|---|
| Newbern Drug Healthmart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428254 | Ma Davis Enterprises, LLC | Pharmacy | 625 W Main St., Suite A, Newbern, TN 38059 | 2006-06-21 |
| Street Address |
625 W MAIN ST. SUITE A. |
| City | NEWBERN |
| State | TN |
| Zip Code | 38059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760428254 | Ma Davis Enterprises, LLC | Pharmacy | 625 W Main St., Suite A, Newbern, TN 38059 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912001017 | Christy R Newbaker | Durable Medical Equipment & Medical Supplies | 126 East Main Street, Newbern, TN 38059 | 2006-09-11 |
| 1023002631 | Lisa Castellaw Hunt | Nurse Practitioner | 624 Nora Drive, Newbern, TN 38059 | 2005-09-09 |
| 1982918264 | Wanda Faye Smith | Registered Nurse | 126 East Main Street, Newbern, TN 38059 | 2010-07-29 |
| 1366756660 | Clint Edward Myers | Pharmacist | 126 East Main Street, Newbern, TN 38059 | 2010-07-29 |
| 1902110208 | David Allen Newbaker | Pharmacist | 126 East Main Street, Newbern, TN 38059 | 2010-07-29 |
| 1801971668 | Brandon Lee Dodds | Optometrist | 631 W Main St, Dodds Eye Care Plc, Newbern, TN 38059 | 2006-10-27 |
| 1194723056 | Kelly Alexandria Harden | Nurse Practitioner | 105 N Monroe St, Newbern, TN 38059-1214 | 2005-07-13 |
| 1790978294 | Newbern Medical Clinic, PC | Clinic/Center | 105 N Monroe St, Newbern, TN 38059-1214 | 2007-08-20 |
| 1275634214 | Beverly D Mccann | Nurse Practitioner | 105 N Monroe St, Newbern, TN 38059-1214 | 2006-09-25 |
| 1548394562 | Family Care, P.C. | Family Medicine | 108 East Dr, Newbern, TN 38059-1404 | 2007-03-14 |
| Find all providers in zip 38059 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851408710 | Newbern Discount Drug LLC | Durable Medical Equipment & Medical Supplies | 625 W Main St Ste A, Newbern, TN 38059-1573 | 2006-08-24 |
| 1841468790 | Main Street Family Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 126 E Main St, Newbern, TN 38059-1527 | 2008-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999346 | Izzy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1706 Antioch Pike # A, Antioch, TN 37013-2717 | 2020-10-15 |
| 1144827437 | Gb 3445, LLC | Durable Medical Equipment & Medical Supplies | 10820 Kingston Pike Ste 6, Knoxville, TN 37934-3065 | 2020-10-08 |
| 1386241859 | Covenant Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 2001 Laurel Ave Ste 503, Knoxville, TN 37916-1823 | 2020-10-07 |
| 1346851730 | Esight Inc. | Durable Medical Equipment & Medical Supplies | 330 Mallory Station Rd Ste F19, Franklin, TN 37067-2861 | 2020-08-11 |
| 1457961401 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 750 Winfield Dunn Parkway, Suite 100, Sevierville, TN 37876 | 2020-08-05 |
| 1578173944 | Publix Tennessee, LLC | Durable Medical Equipment & Medical Supplies | 1111 Gallatin Ave, Nashville, TN 37206-3201 | 2020-07-31 |
| 1588282917 | Rock House Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 25 N Spring St, Sparta, TN 38583 | 2020-07-13 |
| 1568086049 | Limestone Medical LLC | Durable Medical Equipment & Medical Supplies | 1650 Murfreesboro Rd Ste 155, Franklin, TN 37067-5080 | 2020-06-01 |
| 1619590445 | Wayfarer, Inc. | Durable Medical Equipment & Medical Supplies | 1416 Antioch Pike Ste 101, Antioch, TN 37013-2766 | 2020-05-27 |
| 1467075838 | Yolanda S Draine | Durable Medical Equipment & Medical Supplies | 420 Monroe Ave # 1413, Memphis, TN 38103-3252 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.