Individual provider Active NPI

Evelyn Doan, RPH, M.A.

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1083997076
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2000173733 Issued in MO
Practice address
7199 Natural Bridge Rd
Saint Louis, MO 63121-5143
Phone
(314) 382-9926
Fax
(314) 382-1278
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2000173733 MO Primary

Addresses

Primary practice location

7199 Natural Bridge Rd
Saint Louis, MO 63121-5143

Mailing address

82 Rivermeadows Dr
Florissant, MO 63031-6586
Phone (314) 382-9926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
2000173733MOMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1083997076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 RIVERMEADOWS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630316586",
            "telephone_number": "314-382-9926",
            "fax_number": "314-382-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7199 NATURAL BRIDGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215143",
            "telephone_number": "314-382-9926",
            "fax_number": "314-382-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "EVELYN",
        "credential": "RPH, M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2000173733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.