KATIE MARLENE DAVIS (NPI# 1023596558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023596558 |
| Entity Type | Individual |
| Full Name | KATIE MARLENE DAVIS |
| Credential | PHARMD |
| Practice Address |
25 Brentwood Promenade Ct Brentwood MO 63144-1428 |
| Mailing Address |
600 Eiler Rd Belleville IL 62223-2515 |
| Practice Telephone | 3149181939 |
| Mailing Telephone | 2258102229 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2018028843 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1770974255 | Katie Davis | Specialist/Technologist, Other | 2501 Lakewood Ln, Mound, MN 55364-1608 | 2015-02-05 |
| 1871900639 | Katie Shayna Davis | Clinical Neuropsychologist | 51 E 73rd St Ste 5b1, New York, NY 10021-3567 | 2014-07-14 |
| 1548576531 | Katie M Davis | Nurse Practitioner | 930 N Main St, Milan, IN 47031-8827 | 2010-08-27 |
| 1851588537 | Katie Patricia Davis | Social Worker | 119 Vivas Dr, Barnegat, NJ 08005-2593 | 2007-09-26 |
| 1508479361 | Katie M Davis | Nurse Practitioner | 5170 Us Route 60 East, Huntington, WV 25705 | 2020-08-31 |
| 1932723574 | Katie Davis | Dietitian, Registered | 7601 Osler Dr, Towson, MD 21204-7700 | 2020-05-29 |
| 1649737891 | Katie Taylor Davis | Registered Nurse | 1341 N Cashua Dr, Florence, SC 29501-6939 | 2019-02-25 |
| 1447721584 | Katie A Davis | Nurse Practitioner | 9800 Shelbyville Rd, Ste 220, Louisville, KY 40223-2992 | 2018-12-16 |
| 1609356245 | Katie Davis | Case Manager/Care Coordinator | 2153 E Joyce Blvd, Fayetteville, AR 72703-4714 | 2018-08-14 |
| Street Address |
25 BRENTWOOD PROMENADE CT |
| City | BRENTWOOD |
| State | MO |
| Zip Code | 63144-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679595367 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2006-07-24 |
| 1497270086 | Kyle John Dreier | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144 | 2017-08-04 |
| 1154773638 | Andrew Steppleman | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2016-07-07 |
| 1184008385 | Brittney Dreier | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2015-07-17 |
| 1376894329 | Ashley Erwin | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2012-09-29 |
| 1053698548 | Sara C Kamalay | Pharmacist | 25 Brentwood Promenade Ct, T-1102, Brentwood, MO 63144-1428 | 2011-11-10 |
| 1518243492 | Krista Danielle Brown | Pharmacist | 25 Brentwood Promenade Ct, Brentwood, MO 63144-1428 | 2011-10-24 |
| 1306126438 | Szehon Samuel Li | Pharmacist | 25 Brentwood Promenade Ct, T1102, Brentwood, MO 63144-1428 | 2011-08-20 |
| 1710271978 | Nicholas Ross Dryer | Pharmacist | 25 Brentwood Promenade Ct, T-1102, Brentwood, MO 63144-1428 | 2011-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| 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 |
|---|---|---|---|---|
| 1730796467 | Judy Trac | Pharmacist | 410 Mayfield Pl, Brentwood, TN 37027-8542 | 2020-09-27 |
| 1790328961 | Elizabeth Jasper | Pharmacist | 5629 Ottershaw Ct, Brentwood, TN 37027-4100 | 2019-10-21 |
| 1164972121 | Alejandro Guan | Pharmacist | 2643 Presidio Dr, Brentwood, CA 94513-5601 | 2016-10-13 |
| 1801267448 | Jacqueline Dubois Diaz | Pharmacist | 1003 Brentwood Pt, Brentwood, TN 37027-7966 | 2015-10-08 |
| 1508247511 | Mona Kiriakos | Pharmacist | 1923 Cedar Falls Ave, Brentwood, CA 94513-4147 | 2015-06-16 |
| 1528456514 | Felicia C. Udoji | Pharmacist | 1231 Carl Seyfert Memorial Dr, Brentwood, TN 37027 | 2014-12-30 |
| 1265844260 | Jyothi Somireddy | Pharmacist | 2400 Sand Creek Rd, Brentwood, CA 94513-7058 | 2014-05-24 |
| 1285987792 | Angela M Jones | Pharmacist | 933 Bluff Rd, Brentwood, TN 37027-8320 | 2012-10-22 |
| 1922383082 | Steven John Miller | Pharmacist | 5200 Maryland Way C/o Pharmmd, Suite 200, Brentwood, TN 37027-5018 | 2011-10-19 |
| 1790068336 | Lee Anne Brown | Pharmacist | 1654 Kirkwood Pl, Brentwood, TN 37027-8678 | 2011-09-20 |
| Find all providers in BRENTWOOD | ||||
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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.