EVAN M KING (NPI# 1184055758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184055758 |
| Entity Type | Individual |
| Full Name | EVAN M KING |
| Credential | PHARM.D. |
| Practice Address |
2521 Route 130 S Cinnaminson NJ 08077-3018 |
| Practice Telephone | 8563032105 |
| Practice Fax Number | 8563032108 |
| Mailing Telephone | 8563032105 |
| Mailing Fax Number | 8563032108 |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | A1-0004318 | DE | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RP447188 | PA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 20996 | MD | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 28RI03507900 | NJ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1023170164 | Evan King | Social Worker | 2020 Sw 4th Ave, Suite 520, Portland, OR 97201-4953 | 2006-12-14 |
| Street Address |
2521 ROUTE 130 S |
| City | CINNAMINSON |
| State | NJ |
| Zip Code | 08077-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154348282 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 2521 Route 130 S, Cinnaminson, NJ 08077-3018 | 2006-07-16 |
| 1396345500 | Lucy Rodrigues | Pharmacist | 2521 Route 130 S, Cinnaminson, NJ 08077-3018 | 2020-10-27 |
| 1598869695 | Sam's Club Optical | Technician/Technologist | 2521 Route 130 S, Cinnaminson, NJ 08077-3018 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260537 | Brendan Hastings | Physician Assistant | 1210 Us-130, Cinnaminson, NJ 08077 | 2018-09-27 |
| 1942789037 | Professional Sport & Spine LLC | Chiropractor | 101 Route 130 S- Presidential Center, Washington Bldg Suite 10, Cinnaminson, NJ 08077 | 2018-08-09 |
| 1932635356 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Wayne Dr, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1215463633 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1103 Thomas Ave, Cinnaminson, NJ 08077 | 2017-05-04 |
| 1497281109 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2900 New Albany Rd, Cinnaminson, NJ 08077 | 2017-05-02 |
| 1285169961 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2810 Hunterdon Dr, Cinnaminson, NJ 08077 | 2017-05-01 |
| 1841725470 | Jodi Laughlin | Nurse Practitioner | 400 Highway, Riverton, NJ 08077 | 2017-04-20 |
| 1306383161 | Marwa Yacout | Pharmacist | 1210 Rt.130 North, Cinnaminson, NJ 08077 | 2017-01-31 |
| 1780130989 | Kelly Kerrigan | Clinic/Center | 101 Us Route 130, Cinnaminson, NJ 08077 | 2016-08-28 |
| 1043629710 | Sharea Farmer | Social Worker | 101 Route 130, Grant Building, Suite 408, Cinnaminson, NJ 08077 | 2014-08-07 |
| Find all providers in zip 08077 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710413810 | Vananh Phan Le | Pharmacist | 1210 Route 130 N Ste 1408, Cinnaminson, NJ 08077-3046 | 2017-05-10 |
| 1306383161 | Marwa Yacout | Pharmacist | 1210 Rt.130 North, Cinnaminson, NJ 08077 | 2017-01-31 |
| 1619386893 | Bhavesh Thakrar | Pharmacist | 2200 Garry Rd, Suite 1, Cinnaminson, NJ 08077-2595 | 2014-08-12 |
| 1235568460 | Keang H Huynh | Pharmacist | 2521 Route 130 South, Cinnaminson, NJ 08077 | 2013-11-07 |
| 1750633020 | Brian D. Olinger | Pharmacist | 494 Willow Dr, Cinnaminson, NJ 08077-3420 | 2012-10-10 |
| 1063723815 | Suzette Aquino | Pharmacist | 2604 Route 130 N, Cinnaminson, NJ 08077-3017 | 2010-06-27 |
| 1164742664 | Shannon Colleen Minniti | Pharmacist | 302 Whitebirch Dr, Cinnaminson, NJ 08077-4396 | 2010-06-07 |
| 1184224248 | Beth Laszczyk | Pharmacist | 2501 Route 130 S, Cinnaminson, NJ 08077-3075 | 2020-10-28 |
| 1396345500 | Lucy Rodrigues | Pharmacist | 2521 Route 130 S, Cinnaminson, NJ 08077-3018 | 2020-10-27 |
| 1982173597 | Robert John Kertman | Pharmacist | 1210 Route 130 N Ste 1408, Cinnaminson, NJ 08077-3046 | 2018-11-13 |
| Find all providers in CINNAMINSON | ||||
| City | CINNAMINSON |
| Zip Code | 08077 |
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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.