Active NPI
Nicholas Robert Evans, PHARMD
- Pharmacist
- Olathe, KS
National Provider Identifier
1407402092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-107653
- Practice address
- 18555 W 151St St
Olathe, KS 66062-2725 - Phone
- (913) 489-3459
- NPI assigned
- Aug 10, 2019
- Last updated
- Aug 10, 2019
- 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 | 1-107653 | KS | Primary |
| Pharmacist | 183500000X | 2019028168 | MO |
Addresses
Primary practice location
18555 W 151St St
Olathe, KS 66062-2725
Mailing address
2706 W 79TH St
Prairie Village, KS 66208-3915
Other names 1
- Nick Evans
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 |
|---|---|---|---|
| 1-107653 | KS | MD | Pharmacist |
| 2019028168 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565395200000",
"number": "1407402092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 W 79TH ST",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662083915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18555 W 151ST ST",
"city": "OLATHE",
"state": "KS",
"postal_code": "660622725",
"telephone_number": "913-489-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "NICHOLAS",
"middle_name": "ROBERT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-10",
"last_updated": "2019-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-107653",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019028168",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICK",
"last_name": "EVANS",
"credential": "PHARMD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.