Evason Family Pharmacies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

07544 Issued in NC

Legal business name

EVASON FAMILY PHARMACIES, INC

Doing business as

Sam's Family Pharmacy

Practice address

110 S Sycamore St
Rose Hill, NC 28458

Phone

(910) 289-4271

Fax

(910) 289-3880

NPI assigned

Mar 18, 2009

Last updated

Mar 18, 2009By 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

Mr. Kevin M Wilson, R.PH.NPI 1093956260

Title

Owner

Phone

(910) 285-8737

Specialties & licenses 1

Addresses

Other names 1

• Sam's Family Pharmacy Doing business as

Tax ID family

Evason Family Pharmacies Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evason Pharmacies Inc.

  dba Sam's Family Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Rose Hill, NC
  • NPI 1841525466
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin M Wilson, R.PH.

  • Pharmacist
  • Wallace, NC
  • NPI 1093956260
  Authorized official Same address or phone

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1114168333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EAST MAIN ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "28466",
            "telephone_number": "910-285-8737",
            "fax_number": "910-285-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S SYCAMORE ST",
            "city": "ROSE HILL",
            "state": "NC",
            "postal_code": "28458",
            "telephone_number": "910-289-4271",
            "fax_number": "910-289-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVASON FAMILY PHARMACIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-285-8737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "07544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam's Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ladelicia Raquel Chasten
• Connecting Hearts Family Care Homes, LLC
• Connecting Hearts Home Care, LLC
• Crystal Davis, LCSWA
• Duplin Medical Association Inc (Rose Hill Medical Center)
• Evason Pharmacies Inc (Sam's Pharmacy)
• Evason Pharmacies Inc. (Sam's Family Pharmacy)
• Goshen Medical Center Incorporated
• Kimberly Denise Grigsby-Sessoms, M.D.
• Helping Hands Care Management Services, Inc

• Durable Medical Equipment & Medical Supplies in Rose Hill, NC
• Providers in Rose Hill, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.