Active NPI
Sean Gregory Evans, PHARM D
- Pharmacist
- Charlestown, IN
National Provider Identifier
1538465778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26023986A
- Practice address
- 1250 Patrol Rd
Charlestown, IN 47111-8670 - Phone
- (855) 647-7379
- NPI assigned
- Feb 6, 2011
- Last updated
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20573 | NC | |
| Pharmacist | 183500000X | PD15159 | AR | |
| Pharmacist | 183500000X | 26023986A | IN | Primary |
Addresses
Primary practice location
1250 Patrol Rd
Charlestown, IN 47111-8670
Mailing address
7607 Hidden River Trce
Charlestown, IN 47111-8788
Phone (812) 569-6668
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 |
|---|---|---|---|
| PD15159 | AR | MD | Pharmacist |
| 26023986A | IN | MD | Pharmacist |
| 20573 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knipperx Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Charlestown, IN
- NPI 1285159152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591747200000",
"number": "1538465778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7607 HIDDEN RIVER TRCE",
"city": "CHARLESTOWN",
"state": "IN",
"postal_code": "471118788",
"telephone_number": "812-569-6668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 PATROL RD",
"city": "CHARLESTOWN",
"state": "IN",
"postal_code": "471118670",
"telephone_number": "855-647-7379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "SEAN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-06",
"last_updated": "2020-06-10",
"certification_date": "2020-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20573",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD15159",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26023986A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlestown, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.