Active NPI
Evan James Henry
- Pharmacist
- Newport, PA
National Provider Identifier
1992274641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP452628
- Practice address
- 316 Walnut St
Newport, PA 17074-1524 - Phone
- (717) 567-6047
- NPI assigned
- Nov 23, 2018
- Sex
- Male
- 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 | RP452628 | PA | Primary |
Addresses
Primary practice location
316 Walnut St
Newport, PA 17074-1524
Mailing address
108 Belvedere St
Carlisle, PA 17013-2702
Phone (717) 713-4648
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 |
|---|---|---|---|
| RP452628 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542931200000",
"number": "1992274641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BELVEDERE ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170132702",
"telephone_number": "717-713-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 WALNUT ST",
"city": "NEWPORT",
"state": "PA",
"postal_code": "170741524",
"telephone_number": "717-567-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENRY",
"first_name": "EVAN",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-23",
"last_updated": "2018-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP452628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.