Active NPI
Kaila Evertts
- Pharmacist
- Sayre, PA
National Provider Identifier
1265857668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP447896
- Practice address
- 430 N Keystone Ave
Sayre, PA 18840-1831 - Phone
- (570) 888-7740
- NPI assigned
- Feb 22, 2014
- Sex
- Female
- 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 | RP447896 | PA | Primary |
Addresses
Primary practice location
430 N Keystone Ave
Sayre, PA 18840-1831
Mailing address
430 N Keystone Ave
Sayre, PA 18840-1831
Phone (570) 888-7763
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP447896 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393027200000",
"number": "1265857668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 N KEYSTONE AVE",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401831",
"telephone_number": "570-888-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N KEYSTONE AVE",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401831",
"telephone_number": "570-888-7740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERTTS",
"first_name": "KAILA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-22",
"last_updated": "2014-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP447896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sayre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.