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EVETTS PHARMACY INC. NPI 1619055860


NPI Information

NPI: 1619055860
Provider Name: EVETTS PHARMACY INC.

Doing Business As: THE MEDICINE SHOPPE

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
920 ESTATE DR
MEMPHIS, TN
ZIP 38119
Phone: (901) 683-3511
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EVETTS PHARMACY INC. is a community/retail pharmacy pharmacy in Memphis, TN. 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. EVETTS PHARMACY INC. NPI is 1619055860. The provider is registered as an organization entity type.
The provider Is Doing Business As The Medicine Shoppe.

The provider's business location address is:

920 ESTATE DR
MEMPHIS, TN
ZIP 38119-601
Phone: (901) 683-3511

The provider's authorized official is Kevin Jeffrey Evetts .
The authorized official title is Owner Pharmacist and has the following contact phone number (901) 683-3511.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 3/7/2023.


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
13336C0003XPharmacyCommunity/Retail Pharmacy739TENNESSEEYes

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
14401650OTHERTENNESSEENCPDP #
24674470001MEDICAIDTENNESSEE

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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