OrganizationActive
Randall Scott Davis
NPI 1578513479 · Community/Retail Pharmacy · South Haven, MI
Randall Scott Davis is a Community/Retail Pharmacy organization in South Haven, MI (NPI 1578513479).
Provider details
- NPI number
- 1578513479
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Randall Davis, Owner(269) 637-9476
- License
- 5302025949 (MI)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
901 S Bailey Ave Ste 3
South Haven, MI 49090-6745
Phone: (269) 637-9476
Fax: (269) 639-1650
Street-level locationGet directions
Mailing address
901 S Bailey Ave Ste 3
South Haven, MI 49090-6745
Other names (DBA / former)
- Doing business as
- Shoreline Pharmacy
Registry dates
- Enumerated
- 2006-05-11
- Last updated
- 2017-02-28
Frequently asked questions
- What is Randall Scott Davis's NPI number?
- Randall Scott Davis's National Provider Identifier (NPI) is 1578513479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randall Scott Davis?
- Randall Scott Davis is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Randall Scott Davis located?
- Randall Scott Davis's practice location on file with NPPES is 901 S Bailey Ave Ste 3, South Haven, MI 49090-6745.
- What is Randall Scott Davis's phone number?
- The practice phone number listed in the NPPES registry for Randall Scott Davis is (269) 637-9476.
- Who is the authorized official for Randall Scott Davis?
- The authorized official listed on Randall Scott Davis's NPPES record is Randall Davis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randall Scott Davis's NPI active?
- Yes — Randall Scott Davis's NPI (1578513479) is active in the NPPES registry as of the last update on 2017-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.