JERRY CARL DAVIS (NPI# 1639220684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639220684 |
| Entity Type | Individual |
| Full Name | JERRY CARL DAVIS |
| Credential | RPH |
| Practice Address |
110 W 2nd St Kenly NC 27542 |
| Mailing Address |
1230 Piney Grove Church Rd Kenly NC 27542 |
| Practice Telephone | 9192842010 |
| Practice Fax Number | 9192842231 |
| Mailing Telephone | 9192843570 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 05124 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821179003 | Jerry Thomas Davis | Family Medicine | 6302 A Jacksboro Hwy, Fort Worth, TX 76135-3602 | 2006-10-17 |
| 1356357495 | Jerry Wayne Davis | General Acute Care Hospital | 2715 Avenue N, Nederland, TX 77627-7814 | 2006-07-31 |
| 1457323560 | Jerry Davis | Counselor | 1530 Commerce Park West Drive, Greensburg, IN 47240 | 2006-02-02 |
| 1578046538 | Jerry L Davis Jr. | Behavior Technician | 4778 Overton Rd, Birmingham, AL 35210-3803 | 2018-09-14 |
| 1306298591 | Jerry Davis | Counselor | 3401 Eudora St, Denver, CO 80207-2500 | 2016-07-12 |
| 1699083436 | Jerry Heath Davis | Pharmacist | 120 Carbon City Rd, Morganton, NC 28655-4226 | 2010-09-15 |
| 1225365265 | Jerry Bernard Davis | Pharmacist | 6551 Forest Hill Dr, Forest Hill, TX 76140-1205 | 2009-11-12 |
| 1932300563 | Jerry Davis | Counselor | 348 13th St, Brooklyn, NY 11215-5004 | 2007-05-30 |
| 1912045683 | Jerry Davis | Pharmacist | 310 15th Ave E, Seattle, WA 98112-5103 | 2007-02-02 |
| 1114003597 | Jerry Robert Davis | Dentist | 494 S Emerson Ave, Suite K, Greenwood, IN 46143-1912 | 2006-10-28 |
| Street Address |
110 W 2ND ST |
| City | KENLY |
| State | NC |
| Zip Code | 27542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366711483 | Davis Drug Company of Kenly, Inc. | Pharmacy | 110 W 2nd St, Kenly, NC 27542-5004 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629622162 | Jessica Patreece Wilson | Nurse Practitioner | 7303 Brittney Lane, Kenly, NC 27542 | 2019-08-01 |
| 1780147207 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 9266 Us Highway 301 S, Kenly, NC 27542 | 2019-04-11 |
| 1770885766 | Kenly Drug & Pharmacy, Inc. | Pharmacist | 104 East Second St, Kenly, NC 27542 | 2010-11-23 |
| 1881905461 | Mary Langley Baker | Pharmacist | 104 East Second Stt, Kenly, NC 27542 | 2010-06-29 |
| 1235282567 | Audrey Anderson Heath | Pharmacist | 110 W. Second St., Kenly, NC 27542 | 2007-01-19 |
| 1528110053 | Lynn L Davis | Pharmacy Technician | 110 West 2nd Street, Kenly, NC 27542 | 2007-01-17 |
| 1518045079 | Scott A Turik | Dentist | 409 East Second St, Pob 483, Kenly, NC 27542 | 2006-11-01 |
| 1548222755 | Rebecca M Lancaster | Physician Assistant | 101 E 2nd Street, Kenly, NC 27542 | 2006-04-04 |
| 1467611749 | Robin Ray Davis | Pharmacist | 104 East Second Street, Kenly, NC 27542-0147 | 2008-06-03 |
| 1225183973 | Roger E Watkins | Pharmacy Technician | 110 W Second St, Kenly, NC 27542-0235 | 2007-01-24 |
| Find all providers in zip 27542 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770885766 | Kenly Drug & Pharmacy, Inc. | Pharmacist | 104 East Second St, Kenly, NC 27542 | 2010-11-23 |
| 1881905461 | Mary Langley Baker | Pharmacist | 104 East Second Stt, Kenly, NC 27542 | 2010-06-29 |
| 1235282567 | Audrey Anderson Heath | Pharmacist | 110 W. Second St., Kenly, NC 27542 | 2007-01-19 |
| 1790060929 | Brock Elliot Wiley | Pharmacist | 103 W 2nd St, Kenly, NC 27542-5004 | 2011-10-19 |
| 1467611749 | Robin Ray Davis | Pharmacist | 104 East Second Street, Kenly, NC 27542-0147 | 2008-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1679173611 | Keith Mcbrayer Hunt | Pharmacist | 630 Bostic Sunshine Hwy, Bostic, NC 28018-9779 | 2020-10-29 |
| 1518566066 | Amitkumar Prahaladbhai Patel | Pharmacist | 5450 New Hope Commons Dr # 2137, Durham, NC 27707-9716 | 2020-10-25 |
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1578160149 | Brett Daniel England | Pharmacist | 401 Glenwood Ave Ste 101, Raleigh, NC 27603-1219 | 2020-10-06 |
| 1215544580 | Sarah Payne Maddox | Pharmacist | 1 Hospital Dr Rm 2231, Asheville, NC 28801-4550 | 2020-09-30 |
| 1093321739 | James Doyle Richardson | Pharmacist | 1072 N Main St Ste 103, Walnut Cove, NC 27052-9312 | 2020-09-18 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1912512997 | Sheri Mitten | Pharmacist | 202 Swordgate Dr, Cary, NC 27513-1630 | 2020-09-15 |
| 1669087953 | Elton Wayne Long | Pharmacist | 5106 Nc Highway 87 S Ste 100, Fayetteville, NC 28306-3424 | 2020-09-13 |
| 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.