Provider Demographics
NPI:1114091873
Name:DAVIS, JONES STEPHEN (RPH)
Entity Type:Individual
Prefix:MR
First Name:JONES
Middle Name:STEPHEN
Last Name:DAVIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 KING CHARLES LANE
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007
Mailing Address - Country:US
Mailing Address - Phone:205-664-5797
Mailing Address - Fax:
Practice Address - Street 1:1022 FIRST STREET NORTH
Practice Address - Street 2:SUITE 100
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007
Practice Address - Country:US
Practice Address - Phone:205-621-2310
Practice Address - Fax:205-621-2318
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9955183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0119380OtherNCPDP
0129103OtherNCPDP
0119380OtherNCPDP