Organization Active NPI

Eva RX Inc

Doing business as Forest Pharmacy

  • Community/Retail Pharmacy
  • Forest, VA
National Provider Identifier
1780288720
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
EVA RX INC
Doing business as
Forest Pharmacy
Practice address
1415 Crossings Center Dr Ste a
Forest, VA 24551-4984
Phone
(434) 534-3350
NPI assigned
Nov 30, 2020
Last updated
Feb 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Nidhi Prajapati
Title
President
Phone
(434) 534-3350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

1415 Crossings Center Dr Ste a
Forest, VA 24551-4984

Mailing address

1415 Crossings Center Dr Ste a
Forest, VA 24551-4984

Other names 1

  • FOREST PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210427000535 VA DME Supplier - Pharmacy 9032527312 Practice locations: Forest, VA
O20210922000570 VA Part B Supplier - Mass Immunization (Roster Biller Only) 9032527312 Practice locations: Forest, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Forest Pharmacy1415 Crossings Center Dr, Forest, VA 24551-4984(434) 534-3350 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Mar 12, 2021

National Provider Directory

National Provider Directory

Locations

1415 Crossings Center Dr
Ste A
Forest, VA 24551
Phone (434) 534-3350

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1780288720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CROSSINGS CENTER DR STE A",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CROSSINGS CENTER DR STE A",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245514984",
            "telephone_number": "434-534-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "PRAJAPATI",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-534-3350"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOREST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.