Evers RX Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

031260 Issued in NY

Legal business name

EVERS RX INC

Doing business as

BOOM Pharmacy

Practice address

226 E 144TH St FL 2
Bronx, NY 10451-5909

Phone

(718) 292-0900

Fax

(718) 292-0909

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Dave Watts, PHARM DNPI 1952554347

Title

Vice President

Phone

(718) 292-0900

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• BOOM Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Boom Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Evers RX Inc

  • Long Term Care Pharmacy
  • Bronx, NY
  • NPI 1629884721
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dave Watts, PHARM.D

  • Pharmacist
  • Bronx, NY
  • NPI 1952554347
  NPD Authorized official
• Haralampos Rallakis, RPH MBA

  • Pharmacist
  • New York, NY
  • NPI 1134352511
  NPD

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1801162375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 E 144TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515909",
            "telephone_number": "718-292-0900",
            "fax_number": "718-292-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 E 144TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515909",
            "telephone_number": "718-292-0900",
            "fax_number": "718-292-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERS RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-292-0900",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "031260",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134434",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03457196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOOM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dawn Everline, L.P.N
• Evers RX Inc
• William Bernhart Evertsen, LMSW
• Patrick Evia, PT
• Abraham Eviatar, MD
• Chester Evidente, PT
• Joy Evoh

• Community/Retail Pharmacy in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.