EP EVANS DRUG, INC (NPI# 1740271303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740271303 |
| Entity Type | Organization |
| Organization Name | EP EVANS DRUG, INC |
| Other Organization Name | PHYSICIANS MEDICAL EQUIPMENT AND SUPPLIES |
| Practice Address |
200 E Us Highway 54 El Dorado Springs MO 64744-1926 |
| Practice Telephone | 4178765601 |
| Practice Fax Number | 4178765604 |
| Mailing Telephone | 4178765601 |
| Mailing Fax Number | 4178765604 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | MRS. DARLENE ELLEN HALLFORD (VICE-PRESIDENT) |
| Authorized Official Telephone | 4178765601 |
| Is Organization Subpart | Y |
| Parent Organization Name | EP EVANS DRUG, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 621255900 | 05 |
| Other Name | Type Code |
|---|---|
| Physician's Medical Homecare | Doing Business As Name - Organization |
| Physicians Medical Equipment and Supplies | Doing Business As Name - Organization |
| Street Address |
200 E US HIGHWAY 54 |
| City | EL DORADO SPRINGS |
| State | MO |
| Zip Code | 64744-1926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251742 | Rachel Kauffman | Pharmacist | 1403 S. Park St., El Dorado Springs, MO 64744 | 2017-08-16 |
| 1457898603 | Stephanie Louise Miller | Nurse Practitioner | 322 E Hospital Rd, El Dorado Springs, MO 64744 | 2017-01-26 |
| 1902200645 | Kimberly Denise Souza | Nurse Practitioner | 1317 South Hwy. 32, El Dorado Springs, MO 64744 | 2014-10-09 |
| 1376843714 | Sandra Jeanne Moore | Registered Nurse | 107 W Broadway, Pathway's Behavioral Health Care, Eldorado Springs, MO 64744 | 2010-11-02 |
| 1275674715 | Michael Lee Housh | Dentist | 605 E Hospital Road, Suite #1, El Dorado Springs, MO 64744 | 2007-02-09 |
| 1932269446 | State of Missouri | Case Management | 1301 Industrial Prkwy E, El Dorado Springs, MO 64744 | 2006-12-12 |
| 1720195845 | Wilkinson Pharmacy Inc | Pharmacy | 200 E Hwy 54, El Dorado Springs, MO 64744 | 2006-08-24 |
| 1881608685 | Cedar County Memorial Hospital | Clinic/Center | 1317 S. Highway 32, El Dorado Springs, MO 64744 | 2006-07-28 |
| 1942243639 | Todd P. Hill | Dentist | 107 Broadway Street, El Dorado Springs, MO 64744 | 2006-06-13 |
| 1902379266 | El Dorado Vision LLC | Optometrist | 701 E Hospital Rd, El Dorado Springs, MO 64744 | 2019-01-09 |
| Find all providers in zip 64744 | ||||
| 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 |
|---|---|---|---|---|
| 1124084868 | Wilkinson Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 200 E Highway 54, El Dorado Springs, MO 64744-1926 | 2006-04-21 |
| 1972626687 | St Johns Clinic Inc | Durable Medical Equipment & Medical Supplies | 309 E Hospital Rd, El Dorado Springs, MO 64744-2021 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407646 | Troutman Enterprises, LLC | Durable Medical Equipment & Medical Supplies | 5337 S Campbell Ave Ste A2, Springfield, MO 65810-2494 | 2020-11-07 |
| 1033719323 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 7001 Blue Ridge Blvd Ste P, Raytown, MO 64133-5629 | 2020-10-27 |
| 1093312241 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 7483 Mexico Rd, Saint Peters, MO 63376-1304 | 2020-10-01 |
| 1083228233 | Best Care Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2200 W Port Plaza Dr Ste 220b, Saint Louis, MO 63146-3211 | 2020-09-04 |
| 1194339515 | Neighborhood Ltc Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 4240 Blue Ridge Blvd Ste 100, Kansas City, MO 64133-1703 | 2020-09-02 |
| 1497368773 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1430 Olive St Ste P, Saint Louis, MO 63103-2360 | 2020-08-26 |
| 1124630546 | Midwest Respiratory Care Inc | Durable Medical Equipment & Medical Supplies | 1840 N Commerce Dr, Nixa, MO 65714-7603 | 2020-08-18 |
| 1497373989 | Taylor Made Walk In Tubs LLC | Durable Medical Equipment & Medical Supplies | 420 Nichols Rd, Kansas City, MO 64112-2005 | 2020-07-10 |
| 1487277687 | Medline Industries, Inc. | Durable Medical Equipment & Medical Supplies | 1401 Universal Ave, Kansas City, MO 64120-2139 | 2020-05-21 |
| 1942822549 | Axes Physical Therapy, LLC | Durable Medical Equipment & Medical Supplies | 213 Village Square Shop Ctr, Hazelwood, MO 63042-1838 | 2020-05-18 |
| Find all providers with the same taxonomy | ||||
| City | EL DORADO SPRINGS |
| Zip Code | 64744 |
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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.