Active NPI
Donaver Matherly Evans II, PHARMD
- Pharmacist
- Hickory, NC
National Provider Identifier
1174848659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17545
- Practice address
- 10187 NC Hwy 127
Alexander County
Hickory, NC 28601 - Phone
- (828) 495-3784
- Fax
- (828) 495-1264
- NPI assigned
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17545 | NC | Primary |
Addresses
Primary practice location
10187 NC Hwy 127
Alexander County
Hickory, NC 28601
Mailing address
10187 NC Hwy 127 N
Alexander County
Hickory, NC 28601
Phone (828) 495-3784
Other practice location 1
811 N Brown St
Chadbourn, NC 28431-1309
Phone (910) 654-5996
Other names 1
- Dr. Donaver Matherly E Vans II
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17545 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evans Drug & Company | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Hickory, NC
- NPI 1184949703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1174848659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10187 NC HWY 127 N",
"address_2": "ALEXANDER COUNTY",
"city": "HICKORY",
"state": "NC",
"postal_code": "28601",
"telephone_number": "828-495-3784",
"fax_number": "828-495-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10187 NC HWY 127",
"address_2": "ALEXANDER COUNTY",
"city": "HICKORY",
"state": "NC",
"postal_code": "28601",
"telephone_number": "828-495-3784",
"fax_number": "828-495-1264"
}
],
"practiceLocations": [
{
"address_1": "811 N Brown St",
"address_purpose": "LOCATION",
"city": "Chadbourn",
"state": "NC",
"postal_code": "284311309",
"country_code": "US",
"telephone_number": "910-654-5996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "DONAVER",
"middle_name": "MATHERLY",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DONAVER",
"last_name": "E VANS",
"middle_name": "MATHERLY",
"prefix": "DR.",
"suffix": "II",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.