Ep Evans Drug, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EP EVANS DRUG, INC

Doing business as

Physicians Medical Equipment and Supplies

Practice address

200 E US Highway 54
El Dorado Springs, MO 64744-1926

Phone

(417) 876-5601

Fax

(417) 876-5604

NPI assigned

Nov 2, 2005

Last updated

Jan 11, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

EP EVANS DRUG, INCAs reported in NPPES

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

Authorized official

Name

Mrs. Darlene Ellen Hallford

Title

Vice-President

Phone

(417) 876-5601

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Physicians Medical Equipment and Supplies Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ep Evans Drug, Inc

  dba Physicians Medical Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Nevada, MO
  • NPI 1578206645

  2860592581

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Ep Evans Drug Inc2 organizations share this tax ID, including this one

Part of

Ep Evans Drug Inc

Other organizations with this tax ID 1

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

• Ep Evans Drug, Inc

  dba Physicians Medical Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Nevada, MO
  • NPI 1578206645
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ep Evans Drug, Inc

  dba Physicians Medical Equipment and Supplies

  • Durable Medical Equipment & Medical Supplies
  • Nevada, MO
  • NPI 1578206645
  NPPES parent name

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1740271303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E US HIGHWAY 54",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647441926",
            "telephone_number": "417-876-5601",
            "fax_number": "417-876-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E US HIGHWAY 54",
            "city": "EL DORADO SPRINGS",
            "state": "MO",
            "postal_code": "647441926",
            "telephone_number": "417-876-5601",
            "fax_number": "417-876-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP EVANS DRUG, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EP EVANS DRUG, INC",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A",
        "authorized_official_last_name": "HALLFORD",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "417-876-5601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621255900",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Medical Equipment and Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Michael Dandurand, PHD, LPC
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• Michael C Frier, O.D.
• Alfreda Gonzalez

• Durable Medical Equipment & Medical Supplies in El Dorado Springs, MO
• Providers in El Dorado Springs, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.