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Davis Pharmacy Inc.

Davis Pharmacy Inc. is a healthcare organization registered as Community/Retail Pharmacy in New Madrid, MO, holding Type 2 (organization) NPI 1063526036 since 2006. The authorized official on file is Mary Davis, Owner/President.

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NPI 1063526036
Entity type Organization (Type 2)
Legal business name Davis Pharmacy Inc.
Other name <Unavail>
Practice address 415 MOTT ST, New Madrid, MO, 63869
Phone 5737485205
Fax 5737482838
Enumeration date 2006-08-18
Last updated in NPPES 2010-03-29

Authorized official

Name Mary Davis
Title Owner/President
Phone 5737485205

Taxonomy & classification

Taxonomy code Specialty Primary License State
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary 003656 MO

Other identifiers

Identifier Type State Issuer
600133805 Medicaid MO
2609040 Other NCPDP PROVIDER IDENTIFICATION NUMBER
Copy-ready billing details
Provider: Davis Pharmacy Inc.
NPI: 1063526036
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 415 MOTT ST, New Madrid, MO, 63869

Providers at this address

NPI Name Type Specialty Location
1194048751 Davis Pharmacy Inc Organization Durable Medical Equipment & Medical Supplies New Madrid, MO
1295153518 Freds Stores of Tennessee Inc Organization Community/Retail Pharmacy New Madrid, MO

Verify this record

Cross-check NPI 1063526036 against the authoritative CMS record: view Davis Pharmacy Inc. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is the NPI number for Davis Pharmacy Inc.?
The NPI for Davis Pharmacy Inc. is 1063526036, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Davis Pharmacy Inc.?
NPPES lists Mary Davis (Owner/President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-03-29.