Dorthy Jean Evans, DOCTOR OF PHARMACY

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.036497 Issued in IL

Practice address

6505 N Illinois St
Fairview Heights, IL 62208-2001

Phone

(618) 394-8744

Fax

(618) 394-2026

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dorthy Jean Triplett Former name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walgreens

  • Health Maintenance Organization
  • Fairview Heights, IL
  • NPI 1568742211
  Authorized official Same address or phone

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1255921599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082001",
            "telephone_number": "618-394-8744",
            "fax_number": "618-394-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082001",
            "telephone_number": "618-394-8744",
            "fax_number": "618-394-2026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "886 Misty Valley Rd",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691871",
            "country_code": "US",
            "telephone_number": "618-632-7038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "DORTHY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.036497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walgreens",
            "affiliation": "N",
            "address_1": "6505 N Illinois St",
            "city": "Fairview Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622082001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walgreen",
            "affiliation": "N",
            "address_1": "6505 N Illinois St",
            "city": "Fairview Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622082001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Walgreens",
            "affiliation": "N",
            "address_1": "6505 N Illinois St",
            "city": "Fairview Heights",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622082001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DORTHY",
            "last_name": "TRIPLETT",
            "middle_name": "JEAN",
            "credential": "DOCTOR OF PHARMACY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chyriah Edwards
• Tomika Eiland, LCSW
• Jahleel Amir Elijah
• Rachael Elisabeth Elmore, BCBA
• Empowerme Diagnostics LLC
• Julie Michelle Evans
• Everside Health LLC Fairview Heights Health Ctr (Marathon Health, Fairview Heights IL)
• Express Medical Care, LLC (Express Medical Care)
• Fairview Caseyville Township FPD
• Fairview Heights Dentistry, PLLC (Fairview Heights Dentistry)

• Pharmacist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.