Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013431162 Individual Practitioner Male Practitioner

Dr. Broxton Thayne Davis , PharmD

Pharmacist • Mishawaka, IN

Professional Overview & Biography Verified Profile Summary

Dr. Broxton Davis, PharmD is a registered healthcare professional specializing in Pharmacist in Mishawaka, IN. Practice services are available at 420 W 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

420 W 4th St

Mishawaka, IN 465441948

Telephone 5743077673
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mishawaka, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Mishawaka, IN (5218 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

CMS Verified: 2024-02-20
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IN 26027265A

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

28 Associated Practitioners
NPI 1013546266

Doctor of Pharmacy (Pharm.D.), Master of Business Administration

Jana Schenkel , CNM

Advanced Practice Midwife

NPI 1023487428

Certified Nurse Midwife

Kendall Hochstedler

Nurse Practitioner

NPI 1023502689
Jessica Gnoth

Registered Nurse

NPI 1073932232
Kristen Bree , NP

Nurse Practitioner - Family

NPI 1164591830

Nurse Practitioner

NPI 1194605196

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 20, 2024

Registered at 420 W 4TH ST, MISHAWAKA, IN 465441948 (Tel: 5743077673)

📍
Updated Business Mailing Address February 20, 2024

Registered at 2401 VALLEY DR, VALPARAISO, IN 463832520

NPI Profile Active July 31, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2017

Registered at 1001 STURDY RD, VALPARAISO, IN 463834126 (Tel: 2194627173)

📍
Updated Business Mailing Address July 31, 2017

Registered at 1001 STURDY RD, VALPARAISO, IN 463834126

👤
Provider Name / Credentials Updated July 31, 2017

Recorded as BROXTON DAVIS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2017

Pharmacist (License #26027265A in IN)

🟢
Initial NPI Registration & Enumeration July 31, 2017

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: 1013431162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2017
Last Update: February 20, 2024
Sole Proprietor: No

Mailing Address

2401 Valley Dr

Valparaiso, IN 463832520

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.