P Praxis·MD
● Active Type 1 · Individual

DR. Mandy Conner Davenport, PHARMD

Pharmacist·Statesboro, GA· NPI 1457511446 · Enumerated 2008 · 17 years on NPI
Davenport is 1 of 53 pharmacist providers in Statesboro and 1 of 8384 in Georgia.
NPI age
17 years
Enumerated 2008-06-12
Primary specialty
Pharmacist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2010-07-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 8384 active pharmacist providers in Georgia.

NPI age
17 years
↑ 8 yr above median (9 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-06Enumerated in NPPES
2008 2026

Where they practice

Practice location
603 Northside Dr W
Statesboro, GA 304585378
📞 9127648241fax 9124894818
Mailing address
603 Northside Dr W
Statesboro, GA 304585378
📞 9127648241fax 9124894818

Specialties

  • Pharmacist Primary
    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,...
    GA license #RPH021364 taxonomy 183500000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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