EVANS TOTAL CARE, LLC (NPI# 1477583326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477583326 |
| Entity Type | Organization |
| Organization Name | EVANS TOTAL CARE, LLC |
| Practice Address |
208 Lake St Fulton KY 42041-1544 |
| Practice Telephone | 2704722984 |
| Practice Fax Number | 2704729377 |
| Mailing Telephone | 2704722984 |
| Mailing Fax Number | 2704729377 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-11-20 |
| Authorized Official Name | DR. DAVID STEWART PRATER JR. (OWNER) |
| Authorized Official Telephone | 2704722984 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | MG0530 | KY | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | MG0530 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM BCBS | 000000298324 | 01 |
| KY | 90005596 | 05 | |
| TN | 1454274 | 05 | |
| TN | BCBS TN | 4067258 | 01 |
| Street Address |
208 LAKE ST |
| City | FULTON |
| State | KY |
| Zip Code | 42041-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689662108 | David Stewart Prater Jr. | Pharmacist | 208 Lake St, Fulton, KY 42041-1544 | 2005-10-10 |
| 1720014384 | Amelia Alexander Prater | Pharmacist | 208 Lake St, C/ O Evans Total Care, LLC, Fulton, KY 42041-1544 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538505755 | Mallory K Bradley | Chiropractor | 432 Lake St., Fulton, KY 42041 | 2013-05-14 |
| 1356434930 | Evans Drug Company Pllc | Pharmacist | 214 Lake Street, Fulton, KY 42041 | 2006-10-02 |
| 1518991645 | Purchase Radiology Group | Radiology | 2000 Holiday Lane, Parkway Regional Hospital, Fulton, KY 42041 | 2006-07-11 |
| 1427000454 | Purchase District Health Dept | Public Health or Welfare | 350 Browder Street, Fulton, KY 42041 | 2006-05-17 |
| 1245233162 | Bruce James Rowland | Otolaryngology | 2002 Holiday Lane, Ste 400, Fulton, KY 42041 | 2005-05-24 |
| 1740479823 | Fulton County Transit Authority | Non-emergency Medical Transport (VAN) | 302 Eastwood Dr., Fulton, KY 42041-0601 | 2007-10-15 |
| 1407163231 | Darla Jill Jackson | Developmental Therapist | 418 Pearl St, Fulton, KY 42041-1230 | 2010-08-31 |
| 1578817839 | Fulton City School Clinic | Public Health or Welfare | 400 W State Line St, Fulton, KY 42041-1500 | 2012-11-07 |
| 1437190287 | Indu Bala Malik | Family Medicine | 227 Commercial Ave, Fulton, KY 42041-1528 | 2006-06-10 |
| 1326506585 | Kimberly Dawn Brinkley | Family Medicine | 227 Commercial Ave, Fulton, KY 42041-1528 | 2019-03-06 |
| Find all providers in zip 42041 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054581 | Anthony B Goodesmith | Durable Medical Equipment & Medical Supplies | 8815 Maple Lawn Blvd, Suite 350, Fulton, MD 20759-2683 | 2020-02-05 |
| 1710129101 | Jwtdo, LLC | Durable Medical Equipment & Medical Supplies | 2104 N Bluff St, Fulton, MO 65251-2725 | 2009-03-31 |
| 1144471590 | Bra-la-la | Durable Medical Equipment & Medical Supplies | 8180 Maple Lawn Blvd, Suite B, Fulton, MD 20759-2524 | 2008-10-03 |
| 1417131160 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1410 N Bluff St, Fulton, MO 65251-2350 | 2007-12-18 |
| 1225160187 | Callaway County Special Services | Durable Medical Equipment & Medical Supplies | 606 W Chestnut St, Fulton, MO 65251-1201 | 2007-03-09 |
| 1104919810 | Missouri Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 600 Court St, Fulton, MO 65251-1903 | 2006-10-02 |
| 1235239682 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 503 South 2nd Street, Fulton, NY 13069-2901 | 2006-09-25 |
| 1629187018 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 110 East Broadway Street, Fulton, NY 13069-2300 | 2006-08-30 |
| 1265459598 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1405 Middle Rd, Fulton, KY 42041-7905 | 2006-07-16 |
| 1306863667 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1701 N Bluff St, Fulton, MO 65251-2499 | 2006-07-16 |
| Find all providers in FULTON | ||||
Please comment or provide details below to improve the information on EVANS TOTAL CARE, LLC.
| 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.