MR. DENNIS WILSON DAVIS III (NPI# 1811505118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811505118 |
| Entity Type | Individual |
| Full Name | MR. DENNIS WILSON DAVIS III |
| Credential | PHARM D. |
| Practice Address |
2018 15th St Nw Rochester MN 55901-0716 |
| Mailing Address |
4878 170th Ln Nw Andover MN 55304-1717 |
| Practice Telephone | 5072811676 |
| Practice Fax Number | 5072812953 |
| Mailing Telephone | 7638073606 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 124957 | MN | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PHARMACIST LICESNE | 124957 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891209714 | Dennis Brian Davis Jr. | Counselor | 432 Ray Norrish Dr, Cincinnati, OH 45246-1520 | 2017-11-30 |
| 1053591313 | Dennis W Davis | Military Health Care Provider | Uss Buffalo (ssn 715), Comnavmarianas, Santa Rita, GU 96915 | 2007-11-05 |
| 1962533232 | Dennis Wayne Davis Sr. | Technician/Technologist | Hampstead Station 11, Us Hwy 17, Hampstead, NC 28443 | 2007-03-08 |
| 1497249379 | Dennis Davis | Technician | 6330 Mcleod Dr Ste 3, Las Vegas, NV 89120-4431 | 2018-06-14 |
| 1316185275 | Dennis B Davis | Dentist | 719 Bayshore Dr, Niceville, FL 32578-2527 | 2009-01-30 |
| 1801838859 | Dennis Allan Davis | Specialist | 143 Kennedy Dr, Martin, TN 38237-3309 | 2006-06-12 |
| 1083670350 | Dennis V Davis | Family Medicine | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2006-04-25 |
| 1558341826 | Dennis Davis | Family Medicine | 190 N Main St, Ste 204, Washington, PA 15301-4349 | 2006-01-20 |
| Street Address |
2018 15TH ST NW |
| City | ROCHESTER |
| State | MN |
| Zip Code | 55901-0716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629510854 | Thrifty Drug Stores Inc | Pharmacy | 2018 15th St Nw, Rochester, MN 55901-0716 | 2016-11-04 |
| 1154983542 | Catheryn Bouma | Pharmacist | 2018 15th St Nw, Rochester, MN 55901-0716 | 2019-07-05 |
| 1235623737 | Berit Anne Williamschen | Pharmacist | 2018 15th St Nw, Rochester, MN 55901-0716 | 2018-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1497303150 | Tatenda Valentine Rudziva | Nurse Practitioner | 2989 315 Elton Hills Drive Nw, Suite 201, Rochester, MN 55901 | 2019-08-27 |
| 1629566872 | Juan Simon Rico Mesa | Student in an Organized Health Care Education/Training Program | 4502 Medical Drive, San Antonio, 78229, San Antonio, TX 55901 | 2018-04-24 |
| 1336658277 | Minnesota Teen Challenge | Exclusive Provider Organization | 1542 Assisi Drive Nw, Rochester, MN 55901 | 2017-09-22 |
| 1235648270 | Mariah Adanene | Registered Nurse | 915 41st Street Nw, Rochester, MN 55901 | 2017-09-21 |
| 1912420639 | Anna Maria Schuman | Speech-Language Pathologist | 2746 Superior Drive Nw, Suite Number 150, Rochester, MN 55901 | 2017-07-25 |
| 1871013870 | Rhonda Keith | Counselor | 602 11th Avenue Nw #300, Rochester, MN 55901 | 2017-06-21 |
| 1548794316 | Trevor Kindle | Ophthalmology | 200 1st Ave Nw, Rochester, MN 55901 | 2017-04-18 |
| 1659810844 | Rx Team Home Health Care LLC | Home Health | 1027 7th St Nw Unit #204, Rochester, MN 55901 | 2017-02-21 |
| 1457713109 | Joshua Carter | Chiropractor | 3270 19th St Nw Ste 203, Rochester, MN 55901 | 2016-03-22 |
| Find all providers in zip 55901 | ||||
| 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 |
|---|---|---|---|---|
| 1003449257 | Maurice D Bailey | Pharmacist | 75 Mona St, Rochester, NY 14609-3919 | 2020-02-17 |
| 1245862333 | Zachery Mcatee | Pharmacist | 259 Monreo Ave, 1st Floow Phamacy, Rochester, NY 14607 | 2020-02-07 |
| 1073163770 | Samantha Jo Faso | Pharmacist | 286 Creighton Ln, Rochester, NY 14612-2225 | 2019-09-13 |
| 1255813028 | Cassandra Nicolia | Pharmacist | 898 Guinevere Dr, Rochester, NY 14626-4344 | 2018-08-29 |
| 1023596210 | Hayden Brayer | Pharmacist | 1431 Mount Hope Ave, Rochester, NY 14620-3912 | 2018-07-31 |
| 1295211654 | John Maher | Pharmacist | Mayo Clinic Pharmacy 200 First Street Sw, Rochester, MN 55905-0001 | 2018-07-18 |
| 1497250732 | Dylan Michael Barth | Pharmacist | 1301 1st St Sw Apt B2, Rochester, MN 55902-0337 | 2018-03-28 |
| 1235646498 | Nesreen Mughrabi-jenad | Pharmacist | 4221 W Circle Dr Nw, Rochester, MN 55901-8788 | 2018-01-09 |
| 1477081180 | Thu Hoang | Pharmacist | 1027 7th St Nw Ste 204, Rochester, MN 55901-2666 | 2017-05-24 |
| 1205373248 | Alexandra Schmitt | Pharmacist | 139 Dove Tree Ln, Rochester, NY 14626-4722 | 2017-01-29 |
| Find all providers in ROCHESTER | ||||
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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.