NPIMap

Organization Active NPI

Evans Pharmacy, LLC

  • Long Term Care Pharmacy
  • Enid, OK
National Provider Identifier
1194744151
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
EVANS PHARMACY, LLC
Practice address
1106 W Willow Rd
Enid, OK 73703-2503
Phone
(580) 234-4343
Fax
(580) 234-5477
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Kristi Lynn Nunley
Title
Office Manager
Phone
(580) 234-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1106 W Willow Rd
Enid, OK 73703-2503

Mailing address

1106 W Willow Rd
Enid, OK 73703-2599
Phone (580) 234-5494

Other identifiers 3

IdentifierTypeStateIssuer
100232660EMedicaidOK
100247450COtherOKOK HEALTHCARE AUTHORITY
100247450AMedicaidOK

Other names 1

  • Evans Pharmacy Vital Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evans Pharmacy LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1194744151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W WILLOW RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032599",
            "telephone_number": "580-234-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W WILLOW RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737032503",
            "telephone_number": "580-234-4343",
            "fax_number": "580-234-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-09-02",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "NUNLEY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-234-4343"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232660E",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK HEALTHCARE AUTHORITY",
            "identifier": "100247450C",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247450A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Pharmacy Vital Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.