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DAVISON PHARMACY
NPI 1720701253
Pharmacy - Community/Retail Pharmacy in Davison, MI

Active since September 20, 2022CLIA 23D2324116 · Waiver
1509 S STATE RD STE F, DAVISON, MI 48423(810) 210-6095 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2023, Apr 4, 2023, Sep 20, 2022 (3 updates tracked since 2022).

About Davison Pharmacy NPPES

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

DAVISON PHARMACY (NPI 1720701253) is a healthcare organization registered as a community/retail pharmacy in Davison, Michigan and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through May 18, 2027 and lists Kevin Walsh, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1720701253
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameDAVISON PHARMACY LLC
Location Address1509 S STATE RD STE FDavison, MI 48423-1966
Mailing Address1509 S State Rd Ste FDavison, MI 48423-1966 · (810) 412-4666
Phone(810) 210-6095
Organization SubpartNo
Authorized OfficialKevin WalshPharmacist In Charge · (810) 412-4666
Enumeration DateSeptember 20, 2022
Last NPPES UpdateMay 9, 20233 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1720701253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1509 S STATE RD STE F, Davison, MI 48423
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Other Names 1

Doing Business AsDavison Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2324116

Davison Pharmacy · Davison, MI
Active · expires May 18, 2027
CLIA Number23D2324116
Laboratory TypePharmacy
Certificate Effective DateMay 19, 2025
Certificate Expiration DateMay 18, 2027
Laboratory DirectorHirenkumar I. Amin
Laboratory Phone(810) 412-4666
Laboratory LocationDavison Pharmacy1509 S State Road Suite F, Davison, MI 48423
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services51 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
44 services44 patients

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Davison Pharmacy LLC carries, from the Medicare DMEPOS supplier directory.

Davison Pharmacy LLC

DMEPOS supplier · Davison, MI
✔

Accepts Medicare assignment

Davison Pharmacy LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20348309
Medicare Participant SinceJuly 22, 2022
Supplier Location1509 S State Rd Ste FDavison, MI 48423
Phone(810) 412-4666
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

HIRENKUMAR AMIN
Pharmacist
1509 S STATE RD STE F
DAVISON, MI 48423
Genesee County (810) 412-4666

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 Davison Pharmacy LLC's NPI number?

The NPI number for Davison Pharmacy LLC is 1720701253. It was assigned to this organization in the NPPES registry on September 20, 2022. The provider is doing business as Davison Pharmacy.

Where is Davison Pharmacy LLC located?

Davison Pharmacy LLC is located at 1509 S State Rd Ste F, Davison, MI 48423. The listed phone number is (810) 210-6095.

What is Davison Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Davison Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Davison Pharmacy LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Davison Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2324116) is associated with this NPI, valid through May 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Davison Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Davison Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Davison Pharmacy LLC was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.