NPIMap

Organization Active NPI

Evans Pharmacy LLC

Doing business as Evans Express Pharmacy

  • Community/Retail Pharmacy
  • Enid, OK
National Provider Identifier
1598913147
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5-7137 Issued in OK
Legal business name
EVANS PHARMACY LLC
Doing business as
Evans Express Pharmacy
Practice address
110 N Oakwood Rd
Enid, OK 73703-4946
Phone
(580) 233-1202
Fax
(580) 233-1208
NPI assigned
Sep 8, 2008
Last updated
Aug 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Kristi Lynn Nunley
Title
Office Manager
Phone
(580) 234-4343

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5-7137 OK Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

110 N Oakwood Rd
Enid, OK 73703-4946

Mailing address

110 N Oakwood Rd
Enid, OK 73703-4946
Phone (580) 234-4343

Other identifiers 2

IdentifierTypeStateIssuer
2116853OtherPK
100247450DMedicaidOK

Other names 1

  • Evans Express Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evans Pharmacy LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1106 W Willow Rd
Enid, OK 73703
Phone (580) 234-4343

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1598913147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N OAKWOOD RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034946",
            "telephone_number": "580-234-4343",
            "fax_number": "580-233-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N OAKWOOD RD",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034946",
            "telephone_number": "580-233-1202",
            "fax_number": "580-233-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "NUNLEY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-234-4343"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OK",
            "license": "5-7137",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2116853",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100247450D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Evans Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.