Active NPI
Evelyn O Fisher
- Pharmacist
- Missouri City, TX
National Provider Identifier
1316343569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45840
- Practice address
- 1965 Texas Pkwy
Missouri City, TX 77489-3121 - Phone
- (832) 230-0169
- NPI assigned
- Nov 17, 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 | 45840 | TX | Primary |
Addresses
Primary practice location
1965 Texas Pkwy
Missouri City, TX 77489-3121
Mailing address
1965 Texas Pkwy
Missouri City, TX 77489-3121
Phone (832) 230-0169
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 |
|---|---|---|---|
| 45840 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amazing Grace Pharmacy, Inc | Pharmacist | Current | Accepting new patients |
Locations
1965 Texas Pkwy
Missouri City, TX 77489
Phone (832) 230-0169
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639353600000",
"number": "1316343569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 TEXAS PKWY",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774893121",
"telephone_number": "832-230-0169",
"fax_number": "832-230-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 TEXAS PKWY",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774893121",
"telephone_number": "832-230-0169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "EVELYN",
"middle_name": "O",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-17",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.