Organization Active NPI

Evolve RX LLC

  • Community/Retail Pharmacy
  • Whitehall, PA
National Provider Identifier
1578039723
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on May 22, 2024

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

Authorized official

Name
Dr. Nick Desai, PHARMDNPI 1700299823
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190917003017 PA Part B Supplier - Mass Immunization (Roster Biller Only) 6204165293 Practice locations: Whitehall, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.