JENNIFER L EVANS (NPI# 1487635827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487635827 |
| Entity Type | Individual |
| Full Name | JENNIFER L EVANS |
| Credential | PHARMD |
| Practice Address |
2480 Llewellyn Ave Kimbrough Ambulatory Care Center Fort Meade MD 20755-5800 |
| Mailing Address |
2016 Carter Mill Way Brookeville MD 20833-2243 |
| Practice Telephone | 3076778395 |
| Mailing Telephone | 2404983971 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2016-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 15642 | MD | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
15642 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335008 | Jennifer Virginia Evans | Nurse Practitioner | 333 Salem Pl Ste 165, Fairview Heights, IL 62208-1341 | 2019-09-18 |
| 1851837751 | Jennifer Evans | Case Manager/Care Coordinator | 141 Southwood Dr, Gretna, LA 70056 | 2017-01-16 |
| 1578993820 | Jennifer Marlena Evans | Chiropractor | 420 Pilchard Ct, Florence, SC 29505-5266 | 2013-11-24 |
| 1497096457 | Jennifer Marie Evans | Pharmacist | 570 E Moqui Ln, Escalante, UT 84726-7753 | 2013-03-14 |
| 1295035905 | Jennifer Anne Evans | Counselor | 1108 N Hollywood Way, Burbank, CA 91505-2527 | 2010-10-27 |
| 1659690154 | Jennifer Johnston Evans | Counselor | 313 E Main St, 5, Hendersonville, TN 37075-3898 | 2010-05-24 |
| 1689993164 | Jennifer Lynn Evans | Psychologist | 2451 Executive Dr, Suite 103, Saint Charles, MO 63303-5606 | 2010-05-24 |
| 1366767071 | Jennifer Evans | Spec/Tech, Cardiovascular | 275 Clinton Dr, Stonewall, LA 71078-5405 | 2010-04-06 |
| 1457688475 | Jennifer Diane Evans | Licensed Practical Nurse | 2377 27th St, Cuyahoga Falls, OH 44223-1115 | 2009-11-12 |
| 1063669885 | Jennifer R Evans | Community Health Worker | 271 South Main Street, Cheshire, CT 06410 | 2008-08-22 |
| Street Address |
2480 LLEWELLYN AVE KIMBROUGH AMBULATORY CARE CENTER |
| City | FORT MEADE |
| State | MD |
| Zip Code | 20755-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356802524 | Lindsay Marie Robinson | Physical Therapy Assistant | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2019-03-28 |
| 1346742905 | Judy Garcia De Cubias | Occupational Therapy Assistant | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2018-02-28 |
| 1760926463 | Patrice Sahvohn Scott | Social Worker | 2480 Llewellyn Ave, Ste. 5800, Fort Meade, MD 20755-7081 | 2016-12-14 |
| 1518417815 | Mikala Bruno | Physical Therapist | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2016-10-11 |
| 1386091254 | Kelly Rae Turner | Physician Assistant | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2016-05-19 |
| 1255735403 | Christine Ng | Pharmacist | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2014-10-17 |
| 1336541978 | Ella Maria Stallings | Nurse Practitioner | 2480 Llewellyn Ave, Fort Meade, MD 20755 | 2014-09-25 |
| 1588005052 | Christine Tuong-vi Nguyen Darby | Pharmacist | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2013-07-12 |
| 1285989525 | Marian G Upton | Counselor | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2012-07-23 |
| 1578827325 | Tracy Viviansue Love | Dermatology | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2012-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451216 | Patrick Hoye | Dentist | 8472 Simonds Street, Epes Dental Clinic, Ft. Meade, MD 20755 | 2017-08-01 |
| 1982150561 | Martha Davis | Technician | 2553 Hartel St, Fort Meade, MD 20755 | 2016-09-01 |
| 1649725995 | Jaclyn Leith | Psychologist | 2479 5th St., Ft. Meade, MD 20755 | 2016-08-16 |
| 1548613417 | Catherine Geller | Dental Hygienist | 8476 Simonds St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-07-15 |
| 1396194510 | Cristina Ribeiro | Dental Hygienist | 8476 Simond St, Suite 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1508215765 | Nicole Ferris | Dental Hygienist | 8476 Simond St Ste 5700, Fort George G. Meade, MD 20755 | 2016-06-08 |
| 1487031548 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | Rose Street, Bldg 2799, Ft Meade, MD 20755 | 2015-04-28 |
| 1801206685 | Kimbrough Acc Military Mtf | Pharmacy | 2799 Rose Street, Ft Meade, MD 20755 | 2014-05-02 |
| 1578980744 | Claudia Goleburn | Psychologist | 2479 5th St, Ft Meade, MD 20755 | 2014-03-25 |
| 1093063158 | Michael Elsworth Yapp | Pharmacist | 24180 Llewellyn Avenue, Fort Meade, MD 20755 | 2012-08-21 |
| Find all providers in zip 20755 | ||||
| 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 |
|---|---|---|---|---|
| 1972159101 | Harrison Charles Johnson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2019-08-13 |
| 1790297620 | Ashley Pederson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2017-11-01 |
| 1255735403 | Christine Ng | Pharmacist | 2480 Llewellyn Ave, Fort Meade, MD 20755-7081 | 2014-10-17 |
| 1598173551 | Chelsea Schmidt | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2014-07-22 |
| 1598171399 | Martin Sutat Anderson | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2014-07-01 |
| 1881000628 | Anna Rae Delzer | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2014-07-01 |
| 1437426806 | Bonnie Kathleen Walno | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2011-11-29 |
| 1760790729 | Cole Kling | Pharmacist | 113 Comanche Rd, Fort Meade, SD 57741-1002 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697436 | Maxcare Pharmacy | Pharmacist | 7448 Baltimore Annapolis Blvd Ste A, Glen Burnie, MD 21061-3468 | 2020-07-28 |
| 1255966735 | David Lee Lowery | Pharmacist | 1102 Midvale Ave, Mount Airy, MD 21771-5522 | 2020-03-05 |
| 1639703523 | Mary Katherine Emadi | Pharmacist | 1320 Londontown Blvd, Eldersburg, MD 21784-6409 | 2020-02-28 |
| 1245878875 | Crowns Pharmacy LLC | Pharmacist | 9705 Fort Meade Rd, Laurel, MD 20707-4405 | 2019-12-13 |
| 1932750536 | Oluwadamilola Ademiluyi | Pharmacist | 202 Bottsford Ave, Upper Marlboro, MD 20774-8416 | 2019-09-25 |
| 1093361008 | Mark Adjetey | Pharmacist | 18924 Marsh Hawk Ln, Gaithersburg, MD 20879-1774 | 2019-08-15 |
| 1841760048 | Roudabeh Faghri | Pharmacist | 1201 Dutchmans Creek Dr, Brunswick, MD 21716-9770 | 2018-11-29 |
| 1003384678 | Prime Clinical Associates, LLC | Pharmacist | 9019 Sunni Shade Ct, Perry Hall, MD 21128-9222 | 2018-11-12 |
| 1922594837 | Adebayo Ajifolokun | Pharmacist | 2307 Clerklee Way, Bowie, MD 20721-1866 | 2018-07-03 |
| 1669993606 | Maria Giannas | Pharmacist | 6510 O'donnell St, Baltimore, MD 21224 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | FORT MEADE |
| Zip Code | 20755 |
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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.