Individual provider Active NPI

Gerald J. Evans, PHARM.D.

  • Pharmacist
  • Dallas, TX
National Provider Identifier
1336595743
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
47137 Issued in TX
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

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
33341TNMDPharmacist

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.

Verify at the official NPI Registry.