Evagelos Anagnostopoulos
Individual provider Active NPI Pharmacist · Saint Pauls, NC
NPI 1124587944 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1124587944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 27401 (NC)
- Practice address
- 419 W Broad St
Saint Pauls, NC 28384-1537 - Phone
- (910) 865-1242
- NPI assigned
- Mar 19, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27401 | NC | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27401 | NC | Yes |
Addresses
Primary practice location
419 W Broad St
Saint Pauls, NC 28384-1537
Mailing address
419 W Broad St
Saint Pauls, NC 28384-1537
Phone (910) 865-1242
Other providers in Saint Pauls, NC
- A Primary Choice, Inc.
- A Primary Health Inc
- Justin Adams
- Andrea Marie Care Home LLC
- Marquilla Avila-Galeana
- Aw Cash, Inc
- Beck Chiropractic Center, PA
- Deangelo Bethea
All providers in Saint Pauls, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.