MR. TIMOTHY WARREN EVANS (NPI# 1083119994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083119994 |
Entity Type | Individual |
Full Name | MR. TIMOTHY WARREN EVANS |
Credential | R.PH., M.S. |
Practice Address |
2714 Harbeck Rd Grants Pass OR 97527-5630 |
Practice Telephone | 5414760361 |
Mailing Telephone | 5414760361 |
Enumeration Date | 2018-03-24 |
Last Update Date | 2018-06-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
6119 | OR | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | STATE BOARD OF PHARMACY | 6119 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942696653 | Timothy Evans | Student in an Organized Health Care Education/Training Program | 171 Arbor Blvd, Naples, FL 34119-4644 | 2015-04-09 |
1740602739 | Timothy Evans | Registered Nurse | 715 S Flower St, Lakewood, CO 80226-4116 | 2014-01-10 |
1003179938 | Timothy Ray Evans | Pharmacist | 21801 Makah Road, Woodway, WA 98020-7204 | 2012-06-15 |
1992860969 | Timothy D Evans | Marriage & Family Therapist | 2111 W Swann, Suite 104, Tampa, FL 33606 | 2006-12-27 |
1699878272 | Timothy Sears Evans | Dentist | 928 E 100 S, Suite E, Salt Lake City, UT 84102 | 2006-09-07 |
1275644056 | Timothy Craig Evans | Counselor | 1221 W Whitehall Rd, State College, PA 16801-2627 | 2006-08-31 |
1720095896 | Timothy J Evans | Nurse Practitioner | 1301 S Adams St, Fulton, MS 38843 | 2006-08-02 |
1669000568 | Timothy Cogswell Evans | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2020-03-28 |
1962057877 | Timothy Ryan Evans | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5051 | 2019-08-07 |
1245734060 | Timothy Tyler Evans | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2018-03-19 |
Street Address |
2714 HARBECK RD |
City | GRANTS PASS |
State | OR |
Zip Code | 97527-5630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
Find all providers in zip 97527 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225514375 | Dane M Fickes | Pharmacist | 135 Ne Terry Ln, Grants Pass, OR 97526-4801 | 2018-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194385674 | Joseph Lee Combee | Pharmacist | 4956 Sw Aster St, Corvallis, OR 97333-1367 | 2019-06-17 |
1538627377 | Jacquelyn Jessica Lansing | Pharmacist | 33190 Bloomberg Rd, Eugene, OR 97405-9609 | 2019-03-12 |
1972097699 | Nathan Daniel Hoover | Pharmacist | 1401 North 10th Ave, Stayton, OR 97383 | 2018-06-16 |
1144737677 | Matthew Ito | Pharmacist | 5805 Sw Delker Rd, Tualatin, OR 97062-7753 | 2018-01-05 |
1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
1336662204 | Jenny French | Pharmacist | 9427 Sw Barnes Rd Ste 295, Portland, OR 97225-6652 | 2017-07-21 |
1104378199 | Derek Andrus | Pharmacist | 5717 Nw 138th, Portland, OR 97230 | 2016-10-26 |
1841747649 | Richard Bennett | Pharmacist | 425 Burlwood Ave N, Monmouth, OR 97361-2252 | 2016-09-09 |
1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
1245695956 | M. Katherine Welch | Pharmacist | 3228 Sw Water Ave, Portland, OR 97239-4632 | 2015-12-22 |
Find all providers with the same taxonomy |
City | GRANTS PASS |
Zip Code | 97527 |
Please comment or provide details below to improve the information on MR. TIMOTHY WARREN EVANS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.