Evolution Pharmacy Service Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PP482045 Issued in PA

Legal business name

EVOLUTION PHARMACY SERVICE INC

Doing business as

evolution pharmacy service inc

Practice address

401 Laurel St
Pittston, PA 18640-3557

Phone

(570) 534-0995

Fax

(570) 299-7896

NPI assigned

Sep 20, 2010

Organization subpart

No

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

Authorized official

Name

Jerome Sauter, RPH

Title

President

Phone

(570) 534-0995

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• evolution pharmacy service inc Doing business as

Locations

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1750699179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LAUREL ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403557",
            "telephone_number": "570-534-0995",
            "fax_number": "570-299-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LAUREL ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186403557",
            "telephone_number": "570-534-0995",
            "fax_number": "570-299-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION PHARMACY SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "SAUTER",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-534-0995",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP482045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2126766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "evolution pharmacy service inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Long Term Care Pharmacy in Pittston, PA
• Providers in Pittston, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.