Active NPI
Evers Pharmacy Inc
Doing business as Dauber Pharmacy
- Pharmacy
- Mascoutah, IL
National Provider Identifier
1114970688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 054014644
- Legal business name
- EVERS PHARMACY INC
- Doing business as
- Dauber Pharmacy
- Practice address
- 16 E Main St
Mascoutah, IL 62258 - Phone
- (618) 566-8521
- Fax
- (618) 566-8318
- NPI assigned
- May 18, 2006
- Last updated
- Oct 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Whitworth, RPH
- Title
- Owner
- Phone
- (618) 343-2525
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Pharmacy | 333600000X | 054014644 | IL | Primary |
| Long Term Care Pharmacy | 3336L0003X | NU |
Addresses
Primary practice location
16 E Main St
Mascoutah, IL 62258
Mailing address
16 E Main St
Mascoutah, IL 62258
Phone (618) 566-8521
Other names 1
- Dauber Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930097788 | IL | DME Supplier - Pharmacy | 1153449327 | Practice locations: Mascoutah, IL |
| O20250305002376 | IL | Part B Supplier - Pharmacy | 1153449327 | Practice locations: Mascoutah, IL |
National Provider Directory
National Provider DirectoryLocations
16 E Main St
Mascoutah, IL 62258
Phone (618) 566-8521
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Pharmacist
- Mascoutah, IL
- NPI 1528011277
-
- Pharmacist
- Mascoutah, IL
- NPI 1639263585
-
- Pharmacist
- Mascoutah, IL
- NPI 1750334587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698624000000",
"number": "1114970688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 E MAIN ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "62258",
"telephone_number": "618-566-8521",
"fax_number": "618-566-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E MAIN ST",
"city": "MASCOUTAH",
"state": "IL",
"postal_code": "62258",
"telephone_number": "618-566-8521",
"fax_number": "618-566-8318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A",
"authorized_official_last_name": "WHITWORTH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-343-2525",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "IL",
"license": "054014644",
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dauber Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dauber Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mascoutah, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.