Jessica M Eveleth, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

119391 Issued in MN

Practice address

697 Louisiana Drive
Dyess Afb, TX 79607

Phone

(325) 696-5923

NPI assigned

Sep 25, 2008

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

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1083864128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013044",
            "telephone_number": "325-676-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 LOUISIANA DRIVE",
            "city": "DYESS AFB",
            "state": "TX",
            "postal_code": "79607",
            "telephone_number": "325-696-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVELETH",
        "first_name": "JESSICA",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "119391",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "49134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Dwight Davenport, RPH
• Tamatha Dayberry, APRN, FNP-BC
• Micah Thomas Easterling, PT ,DPT,OCS
• Alicia W Edwards, MSW
• Ashley Marie Ertel, MSW
• Victoria K Farley, D.D.S.
• Lucresia Fields
• Sofia Fitzgerald, IDMT
• Stephanie Andrea Foxx, IDMT
• Dwayne Gentry, DMD

• Pharmacist in Dyess Afb, TX
• Providers in Dyess Afb, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.