BROXTON THAYNE DAVIS PHARMD
NPI 1013431162
Pharmacist in Mishawaka, IN

Active since July 31, 2017
420 W 4TH ST, MISHAWAKA, IN 46544(574) 307-7673 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Broxton Thayne Davis Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROXTON THAYNE DAVIS PHARMD (NPI 1013431162) is an individual pharmacist in Mishawaka, Indiana, licensed in Indiana (26027265A) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1013431162
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameBROXTON THAYNE DAVISCredential: PHARMD
Location Address420 W 4TH STMishawaka, IN 46544-1948
Mailing Address2401 Valley DrValparaiso, IN 46383-2520
Sole ProprietorNo
Enumeration DateJuly 31, 2017
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
NPI 1013431162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26027265A
Definition
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.
420 W 4TH ST, Mishawaka, IN 46544

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544
Advanced Practice Midwife
420 W 4TH ST
MISHAWAKA, IN 46544
Family Medicine
420 W 4TH ST, SUITE 180
MISHAWAKA, IN 46544
Registered Nurse
420 W 4TH ST
MISHAWAKA, IN 46544
Family Medicine
420 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Nurse Practitioner (Family)
420 W 4TH ST
MISHAWAKA, IN 46544
Pharmacist
420 W 4TH ST
MISHAWAKA, IN 46544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broxton Davis's NPI number?

The NPI number for Broxton Davis is 1013431162. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Broxton Davis located?

Broxton Davis practices at 420 W 4th St, Mishawaka, IN 46544. The listed phone number is (574) 307-7673.

What is Broxton Davis's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Broxton Davis was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.