GRACE DAVIS (NPI# 1669950184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669950184 |
| Entity Type | Individual |
| Full Name | GRACE DAVIS |
| Credential | PHARMD |
| Practice Address |
437 Wilson St Brewer ME 04412-1414 |
| Mailing Address |
2395 Hudson Rd Hudson ME 04449-3000 |
| Practice Telephone | 2079919679 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR69867 | ME | Pharmacy Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PI46336 | ME | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 489 State St, Bangor, ME 044016616 | 2079738286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029292 | Grace Lee Davis | Home Health | 20907 Southhook Ct, Houston, TX 77073-5624 | 2019-12-03 |
| 1538727144 | Grace Davis | Student in an Organized Health Care Education/Training Program | 2118 Sand Dollar Dr, Richmond, CA 94804-7483 | 2019-05-30 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1679534945 | Grace Violet Davis | Pediatrics | 203 W Kelly St, Sylvester, GA 31791-2021 | 2006-03-28 |
| 1487264560 | Grace Davis | Behavior Technician | 115 Wilcox St, Suite 220, Castle Rock, CO 80104-1992 | 2020-08-04 |
| 1376181057 | Grace Ellen Davis | Registered Nurse | 2984 S Ridgewood Ave Ste A, Edgewater, FL 32141-7515 | 2019-12-13 |
| 1043431232 | Grace Lillian Davis | Social Worker | 631 Mill St Ste 101, San Marcos, TX 78666-6732 | 2007-05-02 |
| 1720131691 | Grace Turner Davis | Social Worker | 2100 Comer Ave, Columbus, GA 31904-8725 | 2007-01-22 |
| 1114953502 | Grace B Davis | Internal Medicine | 988102 Nebraska Medical Ctr, Omaha, NE 68198-8102 | 2006-06-25 |
| Street Address |
437 WILSON ST |
| City | BREWER |
| State | ME |
| Zip Code | 04412-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609049998 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 437 Wilson St, Brewer, ME 04412-1414 | 2008-04-08 |
| 1740754464 | Brandon Kong | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2019-01-15 |
| 1154897411 | Emily Roy | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2018-10-15 |
| 1255814455 | Bradley Roy | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2018-09-13 |
| 1811371354 | Megan Derba | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2015-07-15 |
| 1215347893 | Sarah Clark | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2014-05-05 |
| 1992126395 | Audrey Lambert | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2014-01-02 |
| 1467732008 | Christopher Lloyd Carter | Pharmacist | 437 Wilson St, Walgreens, Brewer, ME 04412-1414 | 2011-08-26 |
| 1104159516 | Edward G Bosshart | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205326899 | Kolby Arnold | Physical Therapist | 277 State St., Brewer, ME 04412 | 2018-05-18 |
| 1215434477 | Kelley Anne Hill | Counselor | 17 Houston Lane, Brewer, ME 04412 | 2018-04-12 |
| 1497250740 | Northeast Dental Partners, Pa | Dentist | 24 Dirigo Drive, Brewer, ME 04412 | 2018-03-28 |
| 1821549445 | Jenelle Hazzard | Nurse Practitioner | 735 Wilson St., Brewer, ME 04412 | 2016-10-19 |
| 1154877520 | Gentle Hands Home Care | Home Health | 153 State St Suite 5, Brewer, ME 04412 | 2016-08-26 |
| 1932459708 | Danielle M Kissinger | Physical Medicine & Rehabilitation | 227 State St, Brewer, ME 04412 | 2012-09-19 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1407154107 | Judy Anderson | Speech-Language Pathologist | 79 Parkway South, Pupil Services Office, Brewer, ME 04412 | 2011-03-03 |
| 1487898508 | Elizabeth A Morse | Technician/Technologist | 272 State Street, Optical Outlet, LLC, Brewer, ME 04412 | 2009-04-21 |
| 1396902359 | Mindy J Smith | Occupational Therapy Assistant | 74 Parkway South, Brewer, ME 04412 | 2008-05-19 |
| Find all providers in zip 04412 | ||||
| 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 |
|---|---|---|---|---|
| 1407327422 | Christopher Nordgren D'amico | Pharmacist | 93 Oak Grove Dr, Brewer, ME 04412-1200 | 2018-12-17 |
| 1750658738 | Todd James Hachey | Pharmacist | 437 Wilson St., Walgreens 11545, Brewer, ME 04412 | 2011-11-19 |
| 1033349212 | Ravi Sankar Pappu | Pharmacist | 422 Wilson St, Brewer, ME 04412-1415 | 2009-07-21 |
| 1306447081 | Lillian Marie Boucher | Pharmacist | 383 Wilson St, Brewer, ME 04412-1521 | 2020-11-08 |
| 1932700192 | Crystal Hatch | Pharmacist | 383 Wilson St, Brewer, ME 04412-1521 | 2020-11-04 |
| 1740754464 | Brandon Kong | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2019-01-15 |
| 1154897411 | Emily Roy | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2018-10-15 |
| 1255814455 | Bradley Roy | Pharmacist | 437 Wilson St, Brewer, ME 04412-1414 | 2018-09-13 |
| 1013494392 | Allison Blokland | Pharmacist | 24 Walton Dr, Brewer, ME 04412-1001 | 2018-07-19 |
| 1689150807 | Rajesh Handral | Pharmacist | 24 Walton Dr, Brewer, ME 04412-1001 | 2018-07-11 |
| Find all providers in BREWER | ||||
Please comment or provide details below to improve the information on GRACE DAVIS.
| 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.