John Douglas Evans

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JOHN DOUGLAS EVANS

Practice address

919 Conference Dr
Unit 4
Goodlettsville, TN 37072-1933

Phone

(615) 855-1603

Fax

(615) 855-1605

NPI assigned

Jan 18, 2008

Organization subpart

Yes

Parent organization

JOHN DOUGLAS EVANSAs reported in NPPES

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

Authorized official

Name

John Douglas Evans

Title

Owner

Phone

(615) 855-1603

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COMMUNITY DRUG Doing business as

Part of

John Douglas Evans

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• John Douglas Evans

  • Community/Retail Pharmacy
  • Goodlettsville, TN
  • NPI 1972518579
  NPPES parent name

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1346426426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370701267",
            "telephone_number": "615-855-1603",
            "fax_number": "615-855-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONFERENCE DR",
            "address_2": "UNIT 4",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721933",
            "telephone_number": "615-855-1603",
            "fax_number": "615-855-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DOUGLAS EVANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN DOUGLAS EVANS",
        "enumeration_date": "2008-01-18",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-855-1603"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455058",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jared Baysinger, DMD, PLLC
• Jeffrey W Mathews DDS PLLC
• Brandon N Jenkins, D.C.
• La'Wanda Y. Jenkins, DNP, APN, PMHCNS-BC
• Meghan Tomlinson Jenkins, MSN, FNP
• John Douglas Evans
• John Friedmann PLLC
• John Martin DDS PC
• Jack Johnson, LMT
• Joy Kathleen Johnson, RN, BSN, IBCLC

• Durable Medical Equipment & Medical Supplies in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.