EVANS PHARMACY, LLC (NPI# 1447279419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447279419 |
| Entity Type | Organization |
| Organization Name | EVANS PHARMACY, LLC |
| Other Organization Name | EVANS PHARMACY VITAL CARE |
| Practice Address |
1106 W Willow Rd Enid OK 73703-2503 |
| Mailing Address |
Po Box 5047 Meridian MS 39302-5047 |
| Practice Telephone | 5802344343 |
| Practice Fax Number | 5802345477 |
| Mailing Telephone | 8004474095 |
| Mailing Fax Number | 6014827490 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KYLE WHITEHEAD (PARTNER) |
| Authorized Official Telephone | 5802344343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
5-4603 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS HIT | 371465488001 | 01 |
| Other Name | Type Code |
|---|---|
| Evans Pharmacy Vital Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386667186 | Evans Pharmacy, LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-25 |
| 1083633960 | Evans Pharmacy, LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| 1386663342 | Evans Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| 1194744151 | Evans Pharmacy, LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| Street Address |
1106 W WILLOW RD |
| City | ENID |
| State | OK |
| Zip Code | 73703-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346274693 | Evans Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-11 |
| 1346870011 | Kyle James Blackburn | Hearing Instrument Specialist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2020-01-22 |
| 1316104821 | Teresa Meyer | Pharmacist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2008-05-21 |
| 1437271392 | Evans Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-04 |
| 1033231865 | Robert Ross | Pharmacist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-04 |
| 1770604118 | Steve Friesen | Pharmacist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-03 |
| 1215058839 | Kyle Whitehead | Pharmacist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-02 |
| 1386667186 | Evans Pharmacy, LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-25 |
| 1083633960 | Evans Pharmacy, LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| 1386663342 | Evans Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| Find all providers in zip 73703 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
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| 1740590009 | Victory Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 104 Thoma Dr Ste 3, Elgin, OK 73538-2203 | 2010-10-20 |
| 1417194465 | Apria Healthcare Inc | Durable Medical Equipment & Medical Supplies | 6200 Tinker Diagonal, Midwest City, OK 73110-2834 | 2009-01-13 |
| 1013195684 | Beaver County Memorial Hospital | Durable Medical Equipment & Medical Supplies | 212 East 8th Street, Beaver, OK 73932 | 2008-02-06 |
| 1134221344 | Langsam Health Services LLC | Durable Medical Equipment & Medical Supplies | 4141 Highline Blvd Ste 100, Oklahoma City, OK 73108-2063 | 2006-09-01 |
| 1568573558 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11414 E 51st St Ste F, Tulsa, OK 74146-5823 | 2006-08-31 |
| 1215965991 | Comanche County Hospital Authority | Durable Medical Equipment & Medical Supplies | 924 Nw 38th St, Lawton, OK 73505-3703 | 2006-06-29 |
| 1689600736 | Mms Oklahoma City, Inc. | Durable Medical Equipment & Medical Supplies | 415 W Wilshire Blvd, Ste. A, Oklahoma City, OK 73116-7702 | 2006-06-23 |
| 1578510186 | Clem's Medical, LLC | Durable Medical Equipment & Medical Supplies | 1108 Texas St, Woodward, OK 73801-3130 | 2006-05-28 |
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| 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.