Active NPI
Evolve RX LLC
- Community/Retail Pharmacy
- Whitehall, PA
National Provider Identifier
1578039723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- EVOLVE RX LLC
- Practice address
- 1618 Schadt Ave
Whitehall, PA 18052-3702 - Phone
- (610) 351-6337
- Fax
- (610) 351-6338
- NPI assigned
- Oct 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nick Desai, PHARMD
- Title
- Pharmacy Manager
- Phone
- (908) 487-7150
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Compounding Pharmacy | 3336C0004X | |||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1618 Schadt Ave
Whitehall, PA 18052-3702
Mailing address
1618 Schadt Ave
Whitehall, PA 18052-3702
Phone (610) 351-6337
Other names 1
- Zephyr Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190917003017 | PA | Part B Supplier - Mass Immunization (Roster Biller Only) | 6204165293 | Practice locations: Whitehall, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Philadelphia, PA
- NPI 1700299823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716336000000",
"number": "1578039723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 SCHADT AVE",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180523702",
"telephone_number": "610-351-6337",
"fax_number": "610-351-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 SCHADT AVE",
"city": "WHITEHALL",
"state": "PA",
"postal_code": "180523702",
"telephone_number": "610-351-6337",
"fax_number": "610-351-6338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVE RX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-15",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A",
"authorized_official_last_name": "DESAI",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "908-487-7150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Zephyr Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Zephyr Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Whitehall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.