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EVANS PHARMACY LLC NPI 1598913147


NPI Information

NPI: 1598913147
Provider Name: EVANS PHARMACY LLC

Doing Business As: EVANS EXPRESS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 37D2197293

Address:
110 N OAKWOOD RD
ENID, OK
ZIP 73703
Phone: (580) 233-1202
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EVANS PHARMACY LLC is a community/retail pharmacy pharmacy in Enid, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. EVANS PHARMACY LLC NPI is 1598913147. The provider is registered as an organization entity type.
The provider Is Doing Business As Evans Express Pharmacy.

The provider's business location address is:

110 N OAKWOOD RD
ENID, OK
ZIP 73703-946
Phone: (580) 233-1202
Fax: (580) 233-1208

The provider's authorized official is Kristi Lynn Nunley .
The authorized official title is Office Manager and has the following contact phone number (580) 234-4343.

The CLIA number assigned to this NPI record is 37D2197293 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2008 and was last updated on 8/22/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy5-7137OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100247450DMEDICAIDOKLAHOMA
22116853OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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