G L DAVIS DRUG INC. — NPI 1760580765 (Licensed & Credentialed Pharmacist, Pharmacotherapy in CALDWELL, OH)

CMS-1500 Box 24J / 33a • NPI

1760580765

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1835P1200X

Licensed & Credentialed Pharmacist, Pharmacotherapy

Box 32 Service Location & ZIP+4

109 WEST ST, CALDWELL, OH, 43724-1359

✓ 9-Digit EDI 837 ZIP+4 (43724-1359)

Practice Phone & Referral Fax

(740) 732-4503

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760580765 (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

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1760580765)

Medicare Beneficiaries

Total Billed Services

Distinct CPT/HCPCS Codes

Medicare Allowed Total

$2,618.44

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCS	Clinical Procedure Description	Services
`90656`	Influenza vaccine, trivalent, split virus, preservative-free, 0.5 ml dosage	15
`G0008`	Administration of influenza virus vaccine	15

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760580765` (NPI-2 Organization / Facility)
Provider / Legal Name	G L DAVIS DRUG INC.
Plain-English Specialty	Licensed & Credentialed Pharmacist, Pharmacotherapy NUCC Code: `1835P1200X` (Pharmacist, Pharmacotherapy)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	109 WEST ST, CALDWELL, OH, 43724-1359
Practice Telephone / Fax	Tel: (740) 732-4503
Administrative Mailing Address	109 WEST ST, CALDWELL, OH, 43724-1359
Enumeration & Last Sync	Enumerated: 2006-09-21 \| CMS Record Updated: 2014-04-08
Authorized Official	GARY DAVIS (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

109 WEST ST, CALDWELL, OH, 43724-1359

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Plain-English Taxonomy & CMS Crosswalk (1835P1200X)

What Does Taxonomy Code 1835P1200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1835P1200X translates to:
"Licensed & Credentialed Pharmacist, Pharmacotherapy"

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 Pharmacist, Pharmacotherapy for specialized diagnostic evaluation, treatment planning, and continuity of care.

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

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
`1835P1200X` — Pharmacist, Pharmacotherapy Plain English: Licensed & Credentialed Pharmacist, Pharmacotherapy	State: OH \| License: `02-0693900` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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G L DAVIS DRUG INC. (NPI #1760580765)