Individual provider Active NPI

Julie Schwartz Evenson, R.PH

  • Pharmacist
  • Great Falls, MT
National Provider Identifier
1518338201
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3504 Issued in MT
Practice address
2800 11TH Ave S
Great Falls, MT 59405-5263
Phone
(406) 727-0070
Fax
(406) 727-1028
NPI assigned
Oct 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3504 MT Primary

Addresses

Primary practice location

2800 11TH Ave S
Great Falls, MT 59405-5263

Mailing address

4 Fawn Dr
Great Falls, MT 59404-6448
Phone (406) 799-1191

Other identifiers 1

IdentifierTypeStateIssuer
PHA-PHA-LIC-3504OtherMTMONTANA STATE PHARMACY LICENSE

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
3504MTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1518338201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FAWN DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046448",
            "telephone_number": "406-799-1191",
            "fax_number": "406-727-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 11TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055263",
            "telephone_number": "406-727-0070",
            "fax_number": "406-727-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENSON",
        "first_name": "JULIE",
        "middle_name": "SCHWARTZ",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "3504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE PHARMACY LICENSE",
            "identifier": "PHA-PHA-LIC-3504",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.