Healthcare Provider Details

I. General information

NPI: 1598840928
Provider Name (Legal Business Name): JENNIFER DAVIS PHARMD.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR
CHAPEL HILL NC
27514-4226
US

IV. Provider business mailing address

600 CARRAWAY XING STE 6308
CHAPEL HILL NC
27516-7127
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-5415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number021731
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number0010413
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0010403
License Number StateOR
# 4
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number21666
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00069785
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number21666
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: