Evans Enterprises Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2937 Issued in LA

Legal business name

EVANS ENTERPRISES INC

Doing business as

Evans Drug Mart

Practice address

64288 Highway 41
Pearl River, LA 70452-3602

Phone

(985) 863-3100

Fax

(985) 863-0790

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David C Evans, RPH PD

Title

President

Phone

(985) 863-3100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Evans Drug Mart Doing business as

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497864359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64288 HIGHWAY 41",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523602",
            "telephone_number": "985-863-3100",
            "fax_number": "985-863-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64288 HIGHWAY 41",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "704523602",
            "telephone_number": "985-863-3100",
            "fax_number": "985-863-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-863-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH PD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "2937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330580",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1261831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Darby, RN
• Jacqueline Davis
• Samantha Dickens, CSFA
• Melanie Toups Doll
• John Philip Epling III, D.D.S
• Cecelia A. Glaviano, LCSW
• John Vincent Hall Jr., NP
• Lisa R Hasenkampf, LCSW
• Hifidelity Imaging 2 LLC
• J Philip Epling III a Professional Dental Corp

• Community/Retail Pharmacy in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.