SIMONA DAVIS, CPhT — NPI 1205411832 (Licensed & Credentialed Pharmacy Technician in NILES, MI)

CMS-1500 Box 24J / 33a • NPI

1205411832

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

183700000X

Licensed & Credentialed Pharmacy Technician

Box 32 Service Location & ZIP+4

2107 S 11TH ST, NILES, MI, 49120-4060

✓ 9-Digit EDI 837 ZIP+4 (49120-4060)

Practice Phone & Referral Fax

(269) 683-5573

Fax: (269) 683-7621

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1205411832 (SIMONA DAVIS, CPhT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1205411832` (NPI-1 Individual Practitioner)
Provider / Legal Name	SIMONA DAVIS, CPhT
Plain-English Specialty	Licensed & Credentialed Pharmacy Technician NUCC Code: `183700000X` (Pharmacy Technician)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2107 S 11TH ST, NILES, MI, 49120-4060
Practice Telephone / Fax	Tel: (269) 683-5573 \| Fax: (269) 683-7621
Administrative Mailing Address	503 FULTON ST, BUCHANAN, MI, 49107-1427
Enumeration & Last Sync	Enumerated: 2021-03-15 \| CMS Record Updated: 2021-03-15

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2107 S 11TH ST, NILES, MI, 49120-4060

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Plain-English Taxonomy & CMS Crosswalk (183700000X)

What Does Taxonomy Code 183700000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183700000X translates to:
"Licensed & Credentialed Pharmacy Technician"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Pharmacy Technician for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SIMONA DAVIS, CPhT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`183700000X` — Pharmacy Technician Plain English: Licensed & Credentialed Pharmacy Technician	State: MI \| License: `5303002939` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SIMONA DAVIS, CPhT (NPI #1205411832)