NPIMap

Organization Active NPI

KB Evans Drug Inc

Doing business as Evans Drugs

  • Long Term Care Pharmacy
  • El Dorado Springs, MO
National Provider Identifier
1619513827
Registry record updated Apr 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
KB EVANS DRUG INC
Doing business as
Evans Drugs
Practice address
209 E US Highway 54
El Dorado Springs, MO 64744-1925
Phone
(417) 876-3313
Fax
(417) 876-2326
NPI assigned
Nov 22, 2019
Last updated
Apr 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2020

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

Authorized official

Name
Tracy Timmermann
Title
Manager
Phone
(417) 876-3313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

209 E US Highway 54
El Dorado Springs, MO 64744-1925

Mailing address

209 E US Highway 54
El Dorado Springs, MO 64744-1925
Phone (417) 876-3313

Other names 1

  • Evans Drugs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
KB Evans Drug Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586563200000",
    "number": "1619513827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E US HIGHWAY 54",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647441925",
            "telephone_number": "417-876-3313",
            "fax_number": "417-876-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E US HIGHWAY 54",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647441925",
            "telephone_number": "417-876-3313",
            "fax_number": "417-876-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KB EVANS DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A",
        "authorized_official_last_name": "TIMMERMANN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "417-876-3313"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Springs, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; 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.