Active NPI
Michele Marie Evink, MS, PHARMD
- Pharmacist
- Osceola, IA
National Provider Identifier
1982698650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17254
- Practice address
- 800 S Fillmore St
Osceola, IA 50213-1619 - Phone
- (641) 342-5322
- Fax
- (641) 342-5429
- NPI assigned
- Sep 8, 2005
- Last updated
- Sep 24, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 17254 | IA | Primary |
Addresses
Primary practice location
800 S Fillmore St
Osceola, IA 50213-1619
Mailing address
PO Box 443
Osceola, IA 50213-0443
Phone (641) 342-3611
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
- Credentials
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17254 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253750400000",
"number": "1982698650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 443",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502130443",
"telephone_number": "641-342-3611",
"fax_number": "641-342-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S FILLMORE ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "502131619",
"telephone_number": "641-342-5322",
"fax_number": "641-342-5429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVINK",
"first_name": "MICHELE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MS, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-08",
"last_updated": "2009-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.