JERRY DAVIS (NPI# 1912045683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912045683 |
| Entity Type | Individual |
| Full Name | JERRY DAVIS |
| Practice Address |
310 15th Ave E Seattle WA 98112-5103 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 2063262364 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00009894 | WA | 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 |
| 1639220684 | Jerry Carl Davis | Pharmacist | 110 W 2nd St, Kenly, NC 27542 | 2007-01-16 |
| 1114003597 | Jerry Robert Davis | Dentist | 494 S Emerson Ave, Suite K, Greenwood, IN 46143-1912 | 2006-10-28 |
| Street Address |
310 15TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676122 | Charlie Browne | Specialist | 310 15th Ave E, Cnb-2, Seattle, WA 98112-5103 | 2005-08-22 |
| 1669096350 | Mikaela Rachel Harf | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2020-05-29 |
| 1407390099 | Ashley Harlan | Registered Nurse | 310 15th Ave E, Seattle, WA 98112-5103 | 2016-12-15 |
| 1265841159 | Candace Mabbitt | Advanced Practice Midwife | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-08-05 |
| 1245658343 | Adriana Piazza | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-04-04 |
| 1043563034 | Serena Sherrill | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2012-10-16 |
| 1801187885 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-26 |
| 1427348887 | Kyunghee Kim | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-19 |
| 1982919437 | Geetha Narayani Fink | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2010-08-09 |
| 1518196500 | Andrew E Warner | Obstetrics & Gynecology | 310 15th Ave E, Group Health, Capitol Hill North Building, Seattle, WA 98112-5103 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| 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 |
|---|---|---|---|---|
| 1922608199 | Kathy Tong | Pharmacist | 3941 S Warsaw St, Seattle, WA 98118-3253 | 2020-10-27 |
| 1518564590 | David Bye | Pharmacist | 1000 2nd Ave Ste 2400, Seattle, WA 98104-1041 | 2020-10-03 |
| 1720694144 | Lwam Dori Ekubazgi | Pharmacist | 5900 37th Ave S Apt H42, Seattle, WA 98118-6234 | 2020-09-21 |
| 1194339465 | Rosa Nguyen | Pharmacist | 1956 Ne Pacific St # H362, Seattle, WA 98195-0001 | 2020-09-03 |
| 1578173134 | Ellen K Giang | Pharmacist | 801 Spring St Apt 2-1213, Seattle, WA 98104-4214 | 2020-08-07 |
| 1962020800 | Erin Marie Williams | Pharmacist | 805 Madison St Ste 702, Seattle, WA 98104-2099 | 2020-07-07 |
| 1558981613 | Gilbert Chao Ko | Pharmacist | Pharmacy Sciences Building 1956 Ne Pacific St H362, Seattle, WA 98195-0001 | 2020-04-19 |
| 1487273371 | Snehal Desai | Pharmacist | 530 Melrose Ave E Apt 409, Seattle, WA 98102-4779 | 2020-04-11 |
| 1144859638 | Ponciano F Bautista | Pharmacist | 4002 49th Ave S, Seattle, WA 98118-1228 | 2020-04-06 |
| 1033747498 | Brittany Dawn Bassett | Pharmacist | 1956 Ne Pacific St, Seattle, WA 98195-0001 | 2020-03-31 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on JERRY 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.