Active NPI
Amy Evans
- Pharmacist
- Atlanta, GA
National Provider Identifier
1770188245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH027924
- Practice address
- 2700 NE Expy NE Ste B800
Atlanta, GA 30345-1828 - Phone
- (404) 367-9111
- Fax
- (404) 367-9199
- NPI assigned
- Dec 2, 2020
- 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 | RPH027924 | GA | Primary |
Addresses
Primary practice location
2700 NE Expy NE Ste B800
Atlanta, GA 30345-1828
Mailing address
2700 NE Expy NE Ste B800
Atlanta, GA 30345-1828
Phone (404) 367-9111
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 |
|---|---|---|---|
| RPH027924 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Procare Pharmacy, LLC. | Past | Accepting new patients | |
| Procare Pharmacy, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1770188245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 NE EXPY NE STE B800",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303451828",
"telephone_number": "404-367-9111",
"fax_number": "404-367-9199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 NE EXPY NE STE B800",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303451828",
"telephone_number": "404-367-9111",
"fax_number": "404-367-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.