Individual provider Active NPI

Marissa Kay Evers, PHARMD

  • Pharmacist
  • Corydon, IA
National Provider Identifier
1699484832
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
24596 Issued in IA
Practice address
510 E Jefferson St Ste a
Corydon, IA 50060-1812
Phone
(641) 872-2030
NPI assigned
Nov 16, 2022
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 24596 IA Primary

Addresses

Primary practice location

510 E Jefferson St Ste a
Corydon, IA 50060-1812

Mailing address

625 N 3Rd St
Centerville, IA 52544-1247
Phone (641) 895-6750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
24596IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne County Hospital CurrentSince Nov 20, 2022 Accepting new patients

Locations

510 E Jefferson St
Ste A
Corydon, IA 50060
Phone (641) 872-2030

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1699484832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N 3RD ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441247",
            "telephone_number": "641-895-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E JEFFERSON ST STE A",
            "city": "CORYDON",
            "state": "IA",
            "postal_code": "500601812",
            "telephone_number": "641-872-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERS",
        "first_name": "MARISSA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "24596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.