Healthcare Provider Details

I. General information

NPI: 1629906151
Provider Name (Legal Business Name): JOSHUA ALBERT DAVIS PHARMD, RPH, BCPPS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 CENTRAL AVE SE
ALBUQUERQUE NM
87106-4930
US

IV. Provider business mailing address

1100 CENTRAL AVE SE PHYSICIAN'S OFFICE BUILDING STE. 502
ALBUQUERQUE NM
87106-4930
US

V. Phone/Fax

Practice location:
  • Phone: 505-563-8006
  • Fax:
Mailing address:
  • Phone: 505-563-8006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License Number8150894
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP00007988
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: