MEDICARE: JENNIFER DAVIS PHARMD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	021731	GA
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0010413	OR
3	183500000X	Pharmacist	0010403	OR
4	183500000X	Pharmacist	21666	NC
5	183500000X	Pharmacist	PH00069785	WA
6	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	21666	NC

General Provider Information

NPI Number	:	1598840928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER DAVIS PHARMD.

Provider Business Mailing Address
First Line	:	600 CARRAWAY XING STE 6308
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-7127
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 MANNING DR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-4226
Country	:	US
Telephone Number	:	984-974-5415
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	12/05/2025

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