Benjamin A Evans, PHARM.D.
Individual provider Active NPI Pharmacist · Clarkrange, TN
NPI 1013223791 · NPPES record last updated Aug 19, 2010
Key facts
- NPI
- 1013223791
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 34302 (TN)
- Practice address
- 6845 S York Hwy
Clarkrange, TN 38553-5154 - Phone
- (931) 863-3779
- NPI assigned
- Aug 19, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34302 | TN | Yes |
Addresses
Primary practice location
6845 S York Hwy
Clarkrange, TN 38553-5154
Mailing address
6845 S York Hwy
Clarkrange, TN 38553-5154
Phone (931) 863-3779
Other providers in Clarkrange, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.