John Douglas Evans

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

4227 Issued in TN

Legal business name

JOHN DOUGLAS EVANS

Doing business as

Community Drug Pharmacy

Practice address

919 Conference Dr
Unit 4
Goodlettsville, TN 37072-1933

Phone

(615) 855-1603

Fax

(615) 855-1605

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

John Evans, RPH

Title

Owner

Phone

(615) 855-1603

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COMMUNITY DRUG PHARMACY Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• John Douglas Evans

  dba Community Drug

  • Durable Medical Equipment & Medical Supplies
  • Goodlettsville, TN
  • NPI 1346426426
  NPPES parent name

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1972518579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370701267",
            "telephone_number": "615-855-1603",
            "fax_number": "615-855-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 CONFERENCE DR",
            "address_2": "UNIT 4",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370721933",
            "telephone_number": "615-855-1603",
            "fax_number": "615-855-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DOUGLAS EVANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-855-1603",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "4227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1455058",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4438758",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY DRUG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey W Mathews DDS PLLC (Goodlettsville Family Dental)
• Brandon N Jenkins, D.C.
• La'Wanda Y. Jenkins, DNP, APN, PMHCNS-BC
• Meghan Tomlinson Jenkins, MSN, FNP
• John Douglas Evans (Community Drug)
• John Friedmann PLLC (Dream Dental)
• John Martin DDS PC
• Jack Johnson, LMT
• Joy Kathleen Johnson, RN, BSN, IBCLC
• Mary Heather Johnson, MD

• Community/Retail Pharmacy in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.