EVANS PHARMACY LLC (NPI# 1003835067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003835067 |
| Entity Type | Organization |
| Organization Name | EVANS PHARMACY LLC |
| Other Organization Name | EVANS PHARMACY VIATL CARE |
| Practice Address |
1106 W Willow Rd Enid OK 73703-2503 |
| Mailing Address |
Po Box 5047 Meridian MS 39302-5047 |
| Practice Telephone | 5082344343 |
| Practice Fax Number | 5802345477 |
| Mailing Telephone | 8004474095 |
| Mailing Fax Number | 6014827490 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KYLE WHITEHEAD (PARTNER) |
| Authorized Official Telephone | 5802344343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
5-4603 | OK | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS HIT | 37143288001 | 01 |
| Other Name | Type Code |
|---|---|
| Evans Pharmacy Viatl Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346274693 | Evans Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-11 |
| 1598913147 | Evans Pharmacy LLC | Pharmacy | 110 N Oakwood Rd, Enid, OK 73703-4946 | 2008-09-08 |
| 1437271392 | Evans Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-04 |
| 1912926973 | Evans Pharmacy LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| 1639198690 | Evans Pharmacy LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| Street Address |
1106 W WILLOW RD |
| City | ENID |
| State | OK |
| Zip Code | 73703-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346274693 | Evans Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-11 |
| 1346870011 | Kyle James Blackburn | Hearing Instrument Specialist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2020-01-22 |
| 1316104821 | Teresa Meyer | Pharmacist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2008-05-21 |
| 1437271392 | Evans Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-04 |
| 1033231865 | Robert Ross | Pharmacist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-04 |
| 1770604118 | Steve Friesen | Pharmacist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-03 |
| 1215058839 | Kyle Whitehead | Pharmacist | 1106 W Willow Rd, Enid, OK 73703-2503 | 2007-04-02 |
| 1386667186 | Evans Pharmacy, LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-25 |
| 1083633960 | Evans Pharmacy, LLC | Pharmacy | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| 1386663342 | Evans Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 1106 W Willow Rd, Enid, OK 73703-2503 | 2006-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902233 | Gena M Ford | Massage Therapist | 2117 W Owen K Garriot, Inside Beyond Beauty, Enid, OK 73703 | 2020-08-11 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1083154173 | Amanda Percival, Pllc | Counselor | 1420 W Owen K. Garriott Bldg 1, Enid, OK 73703 | 2017-03-08 |
| 1972934297 | Ty Stroble | Behavioral Analyst | 408 N Oakwood, Apt.13d, Enid, OK 73703 | 2013-12-12 |
| 1801132204 | Ryan Patrick Williams | Dentist | 2510 W Chestnut Ave, Ste A, Enid, OK 73703 | 2012-12-13 |
| 1295094720 | Heather Jeanette Linder | Counselor | 2700 N. Vanburen, Trailer 240, Enid, OK 73703 | 2012-05-03 |
| 1366729477 | Karen Lynn Harris | Counselor | 1625 W. Garriot, Suite F, Enid, OK 73703 | 2011-11-03 |
| 1659666501 | Courtney Michelle Pike | Behavioral Analyst | 1625 West Owen K Garriott Road # F, Enid, OK 73703 | 2011-06-17 |
| 1194040089 | Erin K. Roberts, Dds, Plc | Dentist | 1402 N Van Buren, Enid, OK 73703 | 2010-04-02 |
| 1770812109 | Tabitha Janel Simon | Counselor | 529 North Grand, Enid, OK 73703 | 2009-12-14 |
| Find all providers in zip 73703 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528148665 | Advanced Infusion Therapeutics, LLC | Pharmacy | 5401 S Sheridan Rd, Ste 202, Tulsa, OK 74145-7531 | 2006-10-16 |
| 1104919877 | Optum Infusion Services 301, Lp | Pharmacy | 7512 N Broadway, Suite 308, Oklahoma City, OK 73116-9055 | 2006-10-02 |
| 1730102773 | Economy Pharmacy Inc | Pharmacy | 104 N 35th St, Muskogee, OK 74401-2159 | 2006-07-25 |
| 1518912393 | Cf Solutions, Inc. | Pharmacy | 7471 E 46th Pl, Tulsa, OK 74145-6305 | 2006-05-23 |
| 1912148008 | Arcadia Pharmacy Solutions, LLC | Pharmacy | 4125 S Mingo Rd, Tulsa, OK 74146-3633 | 2009-03-18 |
| 1144408600 | Ritter Express Pharmacy Vital Care | Pharmacy | 702 S Mississippi Ave, Atoka, OK 74525-3324 | 2008-02-07 |
| 1790825974 | Infucare Inc | Pharmacy | 211 S 1st St, Suite A, Madill, OK 73446 | 2007-02-07 |
| 1639248610 | Guardian Health Systems Eufaula | Pharmacy | 401 S Main St, Eufaula, OK 74432-3251 | 2006-11-06 |
| 1922102151 | Carter Healthcare Pharmacy and Dme of Oklahoma, LLC | Pharmacy | 3105 S Meridian Ave, Oklahoma City, OK 73119-1022 | 2006-09-08 |
| 1003835018 | Integris Baptist Medical Center Inc | Pharmacy | 3500 Nw 56th St, Suite 201, Oklahoma City, OK 73112-4529 | 2006-07-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.