Active NPI
Evetts Pharmacy Inc.
Doing business as The Medicine Shoppe
- Community/Retail Pharmacy
- Memphis, TN
National Provider Identifier
1619055860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 739
- 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, 2023
- 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
- Kevin Jeffrey Evetts
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4674470001 | Medicaid | TN | |
| 4401650 | Other | TN | NCPDP # |
Other names 1
- THE MEDICINE SHOPPE
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Memphis, TN
- NPI 1447338777
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.