Active NPI
Gerald J. Evans, PHARM.D.
- Pharmacist
- Dallas, TX
National Provider Identifier
1336595743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47137
- Practice address
- 3560 W Camp Wisdom Rd Ste 100
Dallas, TX 75237-2506 - Phone
- (214) 266-1300
- NPI assigned
- May 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 33341 | TN | |
| Pharmacist | 183500000X | 47137 | TX | Primary |
Addresses
Primary practice location
3560 W Camp Wisdom Rd Ste 100
Dallas, TX 75237-2506
Mailing address
3560 W Camp Wisdom Rd Ste 100
Dallas, TX 75237-2506
Phone (214) 266-1300
Other practice location 1
502 W Kearney St
Suite 600
Mesquite, TX 75149-3401
Phone (972) 288-5437
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33341 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665705600000",
"number": "1336595743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 W CAMP WISDOM RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752372506",
"telephone_number": "214-266-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 W CAMP WISDOM RD STE 100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752372506",
"telephone_number": "214-266-1300"
}
],
"practiceLocations": [
{
"address_1": "502 W Kearney St",
"address_2": "Suite 600",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751493401",
"country_code": "US",
"telephone_number": "972-288-5437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVANS",
"first_name": "GERALD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-05",
"last_updated": "2022-10-14",
"certification_date": "2022-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33341",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.