JORDAN CLARK DAVIS PHARM D
NPI 1407134935
Pharmacist in San Carlos, AZ

Active since August 02, 2011
1223 CIBECUE CIR, SAN CARLOS, AZ 85550(928) 475-2371(928) 475-7272 Get Directions Write a Review

NPPES record last updated: August 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Clark Davis Pharm D NPPES

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

JORDAN CLARK DAVIS PHARM D (NPI 1407134935) is an individual pharmacist in San Carlos, Arizona, licensed in Arizona (S018104) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1407134935
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJORDAN CLARK DAVISCredential: PHARM D
Location Address1223 CIBECUE CIRSan Carlos, AZ 85550-0208
Mailing AddressPo Box 208San Carlos, AZ 85550-0208 · (928) 475-2371 · Fax (928) 475-7272
Fax(928) 475-7272
Sole ProprietorYes
Enumeration DateAugust 2, 2011
NPI 1407134935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S018104
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.
1223 CIBECUE CIR, San Carlos, AZ 85550

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 Jordan Davis's NPI number?

The NPI number for Jordan Davis is 1407134935. It was assigned to this individual provider in the NPPES registry on August 2, 2011.

Where is Jordan Davis located?

Jordan Davis practices at 1223 Cibecue Cir, San Carlos, AZ 85550. The listed phone number is (928) 475-2371.

What is Jordan 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 Jordan Davis was last updated on August 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.