Evolve Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

EVOLVE PHARMACY LLC

Practice address

2423 Main St Ste 5
Evanston, IL 60202-1547

Phone

(615) 928-2511

Fax

(615) 928-2511

NPI assigned

May 25, 2023

Organization subpart

Yes

Parent organization

TENNESSEE ORTHOPAEDIC ALLIANCE, P.A.As reported in NPPES

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

Authorized official

Name

Mr. James Robert Simmons

Title

C.E.O

Phone

(931) 552-4340

Specialties & licenses 2

Addresses

Other identifiers 1

Part of

Evolve Pharmacy LLC

Locations

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1326730417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606545900",
            "telephone_number": "615-928-2511",
            "fax_number": "615-928-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 MAIN ST STE 5",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021547",
            "telephone_number": "615-928-2511",
            "fax_number": "615-928-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVE PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE ORTHOPAEDIC ALLIANCE, P.A.",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "931-552-4340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PHARMACY LICENSE",
            "identifier": "054.022456",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Evanston, IL
• Providers in Evanston, IL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.