Active NPI
Mindy Lee Evans
- Pharmacist
- Dallas, PA
National Provider Identifier
1720714306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP-040740L
- Practice address
- 5 Church St
Dallas, PA 18612-1155 - Phone
- (570) 675-1076
- NPI assigned
- Jul 26, 2022
- Last updated
- Jul 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | RP-040740L | PA | Primary |
Addresses
Primary practice location
5 Church St
Dallas, PA 18612-1155
Mailing address
159 Hemlock Dr
Dallas, PA 18612-2945
Phone (570) 406-2508
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rx01594@cvshealth.com | Pennsylvania CVS Pharmacy, L.L.C. |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP-040740L | PA | MD | Pharmacist |
Interoperability endpoints
- rx01594@cvshealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1720714306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 HEMLOCK DR",
"city": "DALLAS",
"state": "PA",
"postal_code": "186122945",
"telephone_number": "570-406-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CHURCH ST",
"city": "DALLAS",
"state": "PA",
"postal_code": "186121155",
"telephone_number": "570-675-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MINDY",
"middle_name": "LEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-040740L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rx01594@cvshealth.com",
"affiliation": "Y",
"affiliationName": "Pennsylvania CVS Pharmacy, L.L.C.",
"address_1": "5 Church St",
"city": "Dallas",
"state": "PA",
"country_code": "US",
"postal_code": "186121155",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dallas, PA
- Shianna Marie Duvall
- Ecumenical Enterprises Inc (Meadows Nursing and Rehabilitation Center)
- Erika D Eisenbach, P.T., D.P.T
- Nicole Evanosky, PT, DPT
- Angela Mary Evans, CRNP
- Eye Care Specialists, P.C.
- Katie M Ferguson, PHARMD
- Stephanie Fischer, LSW
- Natalie Lynn Fox, COTA
- Franklin and Northmoreland Townships Ambulance Association
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.