Tina Marie Evans, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S022450 Issued in AZ

Practice address

6250 E Grant Road
Ste #388
Tucson, AZ 85747

Phone

(520) 296-0317

Fax

(520) 296-0417

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Portable Medical Pharmacy

  • Long Term Care Pharmacy
  • Tucson, AZ
  • NPI 1558415992
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1073096749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 E GRANT RD",
            "address_2": "SUITE #388",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125811",
            "telephone_number": "520-296-0317",
            "fax_number": "520-296-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 E GRANT ROAD",
            "address_2": "STE #388",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85747",
            "telephone_number": "520-296-0317",
            "fax_number": "520-296-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54923",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S022450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rawley C Evans, NP
• Scott L Evans, DPM
• Shannon Evans, LCSW
• Shianne Evans, RN
• Sonia Elizabeth Evans, LPC
• Christina Evenson, PHARMACY TECHNICIAN
• Eventide Minitries
• Cherie L Everett, LICENSED PROFESSIONA
• Evergreen Bio-Tech Inc
• Shawn Everingham Everingham, RDH

• Pharmacist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.