DR. CHARLES L DAVENPORT JR.
NPI 1104038686
Pharmacist in Mableton, GA

Active since May 04, 2007
558 IVEY WAY S.E., MABLETON, GA 30126(678) 575-8701 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles L Davenport Jr. NPPES

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

DR. CHARLES L DAVENPORT JR. (NPI 1104038686) is an individual pharmacist in Mableton, Georgia, licensed in Georgia (GA017346) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1104038686
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. CHARLES L DAVENPORT JR.
Location Address558 IVEY WAY S.E.Mableton, GA 30126
Mailing Address558 Ivey Way S.e.Mableton, GA 30126 · (678) 575-8701
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1104038686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · GA017346
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.
558 IVEY WAY S.E., Mableton, GA 30126

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 Charles Davenport's NPI number?

The NPI number for Charles Davenport is 1104038686. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Charles Davenport located?

Charles Davenport practices at 558 Ivey Way S.E., Mableton, GA 30126. The listed phone number is (678) 575-8701.

What is Charles Davenport'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 Charles Davenport was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.