Evetts Drug Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

332098 Issued in OK

Legal business name

EVETTS DRUG INC.

Doing business as

Evetts Drug Inc

Practice address

100 E 1St St
Cordell, OK 73632-4810

Phone

(580) 832-3388

Fax

(580) 832-5271

NPI assigned

Sep 30, 2006

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmy Evetts, DPH

Title

Owner

Phone

(580) 832-3388

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• EVETTS DRUG INC Doing business as

Locations

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1104919547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 1ST ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736324810",
            "telephone_number": "580-832-3388",
            "fax_number": "580-832-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 1ST ST",
            "city": "CORDELL",
            "state": "OK",
            "postal_code": "736324810",
            "telephone_number": "580-832-3388",
            "fax_number": "580-832-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVETTS DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "EVETTS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-832-3388",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "332098",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2072712",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100235580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVETTS DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cordell Memorial Hospital 0189 (Cordell Hospital Authority dba Cordell Memorial Hospital)
• Cordell Memorial Hospital 0189 (Cordell Hospital Authority dba Cordell Memorial Hospital Ambulance Ser)
• Cordell Nursing and Rehabilitation LLC
• Cordell Public Schools
• David Macarty, OD PC
• Marlene Heinrichs
• Darrell Ray Hill, CNP
• Anna Lea Hoke
• Hugh a Mendez (Mendez Medical)
• Chris L Johnson, DPH

• Community/Retail Pharmacy in Cordell, OK
• Providers in Cordell, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.