CMS-1500 Box 24J / 33a • NPI
1306182720
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
3336H0001X (CMS 58)
Licensed & Credentialed Suppliers — Pharmacy, Home Infusion Therapy Pharmacy
Box 32 Service Location & ZIP+4
109 WEST ST, SUITE A, CALDWELL, OH, 43724-1359
✓ 9-Digit EDI 837 ZIP+4 (43724-1359)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1306182720 (G. L. DAVIS DRUG INC) 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
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1306182720 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | G. L. DAVIS DRUG INC |
| Plain-English Specialty | Licensed & Credentialed Suppliers — Pharmacy, Home Infusion Therapy Pharmacy NUCC Code: 3336H0001X (Pharmacy, Home Infusion Therapy Pharmacy) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 109 WEST ST, SUITE A, CALDWELL, OH, 43724-1359 |
| Practice Telephone / Fax | Tel: (740) 305-5099 | Fax: (740) 305-5099 |
| Administrative Mailing Address | 109 WEST ST, CALDWELL, OH, 43724-1359 |
| Enumeration & Last Sync | Enumerated: 2012-12-13 | CMS Record Updated: 2012-12-13 |
| Authorized Official | DAN SIDWELL (Pharmacis In Charge) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (3336H0001X)
What Does Taxonomy Code 3336H0001X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3336H0001X translates to:
"Licensed & Credentialed Suppliers — Pharmacy, Home Infusion Therapy Pharmacy"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (G. L. DAVIS DRUG INC)
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
- 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 |
|---|---|
332B00000X — Durable Medical Equipment & Medical SuppliesPlain English: Licensed & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies | State: OH | License: 022242050 | Primary: Secondary |
3336C0004X — Pharmacy, Compounding PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Compounding Pharmacy | State: OH | License: 022242050 | Primary: Secondary |
3336H0001X — Pharmacy, Home Infusion Therapy PharmacyPlain English: Licensed & Credentialed Suppliers — Pharmacy, Home Infusion Therapy Pharmacy | State: OH | License: 022242050 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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