Everwell Specialty Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH19748 Issued in FL

Legal business name

EVERWELL SPECIALTY PHARMACY, LLC

Practice address

6506 N Davis Hwy
Pensacola, FL 32504-6957

Phone

(850) 473-9190

Fax

(850) 473-9935

NPI assigned

Sep 13, 2007

Organization subpart

Yes

Parent organization

REVELATION PHARMACY, LLCAs reported in NPPES

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

Authorized official

Name

Brandon Conti, PHARMD

Title

Pic

Phone

(850) 712-7659

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Pensacola Apothecary, Inc. Former legal business name

Practitioners 2

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

• Brian Patrick Harrison, PHARMD

  • Pharmacist
  • Pensacola, FL
  • NPI 1649240797
  NPD
• Chris Schulte, PH.D

  • Pharmacist
  • Pensacola, FL
  • NPI 1760783096
  NPD

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1669667424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046957",
            "telephone_number": "850-473-9190",
            "fax_number": "850-473-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046957",
            "telephone_number": "850-473-9190",
            "fax_number": "850-473-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERWELL SPECIALTY PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REVELATION PHARMACY, LLC",
        "enumeration_date": "2007-09-13",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "850-712-7659",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH19748",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2007134",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008486400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pensacola Apothecary, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tacora Nikia Evans
• Emily Nicholle Everett
• Kristy Lynne Everett, CRNP
• Laura Ann Evers, RD
• Lindi Nathaleanne Evers, MSN, ARNP, CPNP-PC
• Everwell Specialty Pharmacy, LLC
• Every Child Wenze LLC
• Evolve Medical LLC
• Evolve Podiatry LLC
• Evolve Therapy and Wellness PLLC

• Community/Retail Pharmacy in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.