Organization Active NPI

Evetts Pharmacy Inc.

Doing business as The Medicine Shoppe

  • Community/Retail Pharmacy
  • Memphis, TN
National Provider Identifier
1619055860
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
739 Issued in TN
Legal business name
EVETTS PHARMACY INC.
Doing business as
The Medicine Shoppe
Practice address
920 Estate Dr
Memphis, TN 38119-0601
Phone
(901) 683-3511
NPI assigned
Nov 2, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Kevin Jeffrey EvettsNPI 1447338777
Title
Owner Pharmacist
Phone
(901) 683-3511

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 739 TN Primary

Addresses

Primary practice location

920 Estate Dr
Memphis, TN 38119-0601

Mailing address

920 Estate Dr
Memphis, TN 38119-0601
Phone (901) 683-3511

Other identifiers 2

IdentifierTypeStateIssuer
4674470001MedicaidTN
4401650OtherTNNCPDP #

Other names 1

  • THE MEDICINE SHOPPE Doing business as

National Provider Directory

National Provider Directory

Locations

920 Estate Dr
Ste 11
Memphis, TN 38119
Phone (901) 683-3511

Practitioners & affiliated clinicians

Practitioners 1

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619055860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ESTATE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190601",
            "telephone_number": "901-683-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 ESTATE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190601",
            "telephone_number": "901-683-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVETTS PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EVETTS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "901-683-3511"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4674470001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4401650",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE MEDICINE SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.