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Deactivated NPI 1922110774 Deactivated / Inactive NPI Male Practitioner

Larry Paul Davis , BS PH, PD

Pharmacist • Fayetteville, AR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Larry Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date January 28, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Larry Davis, BS PH, PD was a registered Pharmacist practicing in Fayetteville, AR. Throughout an active medical career spanning 16 years, Larry Davis provided care at the practice location at 102 WEST DICKSON STREET until profile deactivation on 2022-01-28.

Practice Location & Contact Primary Location

Practice Address

102 West Dickson Street
Suite 5

Fayetteville, AR 72701

Telephone 4794427344
Fax 4795219111

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Fayetteville, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
167 Specialists

Practicing in Fayetteville, AR (2976 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AR PD06009

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1124138227

Pharmacist

NPI 1629454681

Registered Pharmacist

NPI 1841304334

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 28, 2022

Record deactivated on January 28, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 102 WEST DICKSON STREET, SUITE 5, FAYETTEVILLE, AR 72701 (Tel: 4794427344)

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Updated Business Mailing Address July 08, 2007

Registered at 59 TERRY STREET, FARMINGTON, AR 72730 (Tel: 4792671277)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LARRY DAVIS, BS PH, PD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #PD06009 in AR)

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Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922110774
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 08, 2007
Deactivation Date: January 28, 2022

Mailing Address

59 Terry Street

Farmington, AR 72730

Phone: 4792671277

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.