Active NPI
Patricia L Evans, R.PH.
- Pharmacist
- Madison Heights, VA
National Provider Identifier
1710078183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202005106
- Practice address
- 521 Colony Rd RT 210 East
Madison Heights, VA 24572 - Phone
- (434) 947-6156
- Fax
- (434) 947-2988
- NPI assigned
- Sep 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202005106 | VA | Primary |
Addresses
Primary practice location
521 Colony Rd RT 210 East
Madison Heights, VA 24572
Mailing address
188 Windy Knob LN
Appomattox, VA 24522
Phone (434) 352-5967
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202005106 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710078183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "188 WINDY KNOB LN",
"city": "APPOMATTOX",
"state": "VA",
"postal_code": "24522",
"telephone_number": "434-352-5967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 COLONY RD RT 210 EAST",
"city": "MADISON HEIGHTS",
"state": "VA",
"postal_code": "24572",
"telephone_number": "434-947-6156",
"fax_number": "434-947-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "PATRICIA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202005106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison Heights, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.