Individual provider Active NPI

Steven Craig Evans, RPH

  • Pharmacist
  • Hatteras, NC
National Provider Identifier
1487956116
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
06557 Issued in NC
Practice address
57353 Hwy 12 Tams Plaza
Hatteras, NC 27943-0428
Phone
(252) 986-2400
Fax
(252) 986-2905
NPI assigned
Dec 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 06557 NC Primary
Pharmacist 183500000X 0202009651 VA

Addresses

Primary practice location

57353 Hwy 12 Tams Plaza
Hatteras, NC 27943-0428

Mailing address

PO Box 428
Hatteras, NC 27943-0428
Phone (252) 986-2400

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
06557NCMDPharmacist
0202009651VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Beach RX, Inc. PastSince Jun 26, 2022 Accepting new patients
Beach RX, Inc Pharmacist PastSince May 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1487956116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 428",
            "city": "HATTERAS",
            "state": "NC",
            "postal_code": "279430428",
            "telephone_number": "252-986-2400",
            "fax_number": "252-986-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57353 HWY 12 TAMS PLAZA",
            "city": "HATTERAS",
            "state": "NC",
            "postal_code": "279430428",
            "telephone_number": "252-986-2400",
            "fax_number": "252-986-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "STEVEN",
        "middle_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "06557",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatteras, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.