EVERCARE PHARMACY, LLC (NPI# 1871157644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871157644 |
| Entity Type | Organization |
| Organization Name | EVERCARE PHARMACY, LLC |
| Other Organization Name | EVERCARE PHARMACY |
| Practice Address |
21748 Us Highway 65 Princeton MO 64673-7865 |
| Practice Telephone | 6607484048 |
| Practice Fax Number | 6607484044 |
| Mailing Telephone | 6607484048 |
| Mailing Fax Number | 6607484044 |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | MELISSA KING (MANAGING MEMBER) |
| Authorized Official Telephone | 6607484048 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE PHARMACY LICENSE | 2019013879 | 01 |
| MO | STATE CONTROLLED SUBSTANCE BNDD | 2500053848 | 01 |
| Other Name | Type Code |
|---|---|
| EverCare Pharmacy | Doing Business As Name - Organization |
| Street Address |
21748 US HIGHWAY 65 |
| City | PRINCETON |
| State | MO |
| Zip Code | 64673-7865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386296358 | Amy Rhoades | Pharmacist | 21748 Us Highway 65, Princeton, MO 64673-7865 | 2019-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699860312 | Amy Lee Mcdaniel | Physical Therapist | 807 Hickland St, Princeton, MO 64673 | 2006-10-04 |
| 1417983503 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 710 Main St, Princeton, MO 64673 | 2006-06-23 |
| 1043291255 | Pearl's II Eden for Elders LLC | Skilled Nursing Facility | 611 N College Ave, Princeton, MO 64673-1051 | 2005-11-07 |
| 1588737555 | Pearls Residential Care LLC | Assisted Living Facility | 308 S Broadway St, Princeton, MO 64673-1111 | 2006-11-16 |
| 1679510556 | Mercer County Ambulance District | Ambulance | 201 W Hickland St, Princeton, MO 64673-1128 | 2006-06-01 |
| 1477708519 | Mercer County Ambulance District | Ambulance | 201 W Hickland St, Princeton, MO 64673-1128 | 2008-11-17 |
| 1053430561 | Mercer County Health Department | Public Health or Welfare | 305 W Main St, Princeton, MO 64673-1133 | 2007-03-28 |
| 1366949877 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 606 W Main St, Princeton, MO 64673-1140 | 2018-04-11 |
| 1235331000 | Philip Stephen Staehling | Pharmacist | 710 W Main St, Princeton, MO 64673-1141 | 2007-06-04 |
| 1235345349 | Bristol Care, Inc. | Assisted Living Facility | 200 N Fullerton St, Princeton, MO 64673-1176 | 2007-05-15 |
| Find all providers in zip 64673 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699112284 | Thirumala Group LLC | Pharmacy | 100 W Princeton Dr # A, Princeton, TX 75407-9607 | 2013-05-23 |
| 1235576877 | Thirumala Group LLC | Pharmacy | 201 E Princeton Dr, Princeton, TX 75407-9005 | 2013-05-22 |
| 1538402342 | Wal-mart Stores East Lp | Pharmacy | 509 Doctor Donnie H Jones Jr Blvd W, Princeton, NC 27569-6820 | 2013-03-29 |
| 1043554504 | Walmart Inc. | Pharmacy | 300 21st Ave N, Princeton, MN 55371-6271 | 2012-11-21 |
| 1184862146 | Aydil Healthcare, Pllc | Pharmacy | 501 E Princeton Dr # 100, Princeton, TX 75407 | 2009-01-29 |
| 1396959938 | Princeton Pharmacy, Inc | Pharmacy | 610 N Main Street, Princeton, IL 61356-2006 | 2007-05-10 |
| 1043352537 | Princeton Pharmacy Inc. | Pharmacy | 501 E. Princeton Dr, Suite 100, Princeton, TX 75407 | 2007-02-13 |
| 1568557031 | E. W. James and Sons, Inc | Pharmacy | 550 U. S. Hwy 62 West, Princeton, KY 42445 | 2006-10-03 |
| 1912099516 | New Jersey Cvs Pharmacy LLC | Pharmacy | 881 State Rd # 206, Princeton, NJ 08540-1436 | 2006-09-29 |
| 1366533796 | Hobert Drugs Inc | Pharmacy | 115 N Rum River Dr, Princeton, MN 55371-1616 | 2006-09-28 |
| Find all providers in PRINCETON | ||||
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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.