Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broxton Thayne Davis, PHARMD

Individual provider Pharmacist · NPI 1013431162

Broxton Thayne Davis, PHARMD is a Pharmacist in Mishawaka, Indiana. Licensed in Indiana. Registered with an NPI since 2017.

Licensed in
IN
In the registry since
2017
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

420 W 4th St
Mishawaka, IN 46544-1948
Phone: (574) 307-7673
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26027265A (IN)

Record details

NPI number1013431162
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedJuly 31, 2017
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address2401 Valley Dr, Valparaiso, IN 46383-2520

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