Ryan Garrett Evans

Primary specialty

PharmacistTaxonomy code 183500000X

License

59312 Issued in TX

Practice address

1105 Goliad Rd
San Antonio, TX 78223-1838

Phone

(210) 533-7602

Fax

(210) 533-3916

NPI assigned

Aug 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • San Antonio, TX
  • NPI 1942217955
  NPD (past)

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598054400000",
    "number": "1568074391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 GOLIAD RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231838",
            "telephone_number": "210-533-7602",
            "fax_number": "210-533-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 GOLIAD RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231838",
            "telephone_number": "210-533-7602",
            "fax_number": "210-533-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "RYAN",
        "middle_name": "GARRETT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-22",
        "last_updated": "2020-08-22",
        "certification_date": "2020-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "59312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Athalie Evans, D.C.
• Patreese Evans
• Rebekah Anne Evans
• Richard Allan Evans, L.P.T.
• Richard M Evans, M.D.
• Samantha Ren'Ee Evans, M.D.
• Sarah Evans, NP-C
• Shadae Evans
• Shanterra Evans
• Thomas Wayne Evans Jr., LVN, CCRP

• Pharmacist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pharmacist in Texas

• 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.