TRI-STATE RX LLC (NPI# 1184728131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184728131 |
| Entity Type | Organization |
| Organization Name | TRI-STATE RX LLC |
| Other Organization Name | NATIONS MEDICINES |
| Practice Address |
4849 Pollack Ave Evansville IN 47715-5750 |
| Mailing Address |
3030 Burlew Blvd Owensboro KY 42303-6486 |
| Practice Telephone | 8129624664 |
| Practice Fax Number | 8129624660 |
| Mailing Telephone | 2706845398 |
| Mailing Fax Number | 2706838373 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2017-02-22 |
| Authorized Official Name | DAVID NATION (OWNER) |
| Authorized Official Telephone | 2706845398 |
| Authorized Official Credential | RPH BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
60005757A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2024675 | 01 | |
| IN | 200455200 | 05 |
| Other Name | Type Code |
|---|---|
| NATIONS MEDICINES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427382688 | Tri-state Rx LLC | Pharmacy | 3408 N 1st Ave, Evansville, IN 47710-3302 | 2009-09-21 |
| Street Address |
4849 POLLACK AVE |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013781 | Mark Allen Haywood | Pharmacy | 4849 Pollack Ave, Evansville, IN 47715-5750 | 2020-05-01 |
| 1598315400 | Evvrx LLC | Pharmacy | 4849 Pollack Ave, Evansville, IN 47715-4771 | 2019-09-13 |
| 1952558686 | Tri State Rx, LLC | Durable Medical Equipment & Medical Supplies | 4849 Pollack Ave, Evansville, IN 47715-5750 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760570030 | Pauls Pharmacy Inc | Pharmacy | 1225 Washington Sq, Evansville, IN 47715-6807 | 2006-10-11 |
| 1437252954 | Hook Superx LLC | Pharmacy | 801 N 1st Ave, Evansville, IN 47710-1937 | 2006-09-07 |
| 1760585434 | Hook Superx LLC | Pharmacy | 4480 N 1st Ave, Evansville, IN 47710-3622 | 2006-09-07 |
| 1346343860 | Hook Superx LLC | Pharmacy | 5120 Weston Rd, Evansville, IN 47712-3702 | 2006-09-07 |
| 1841393576 | Hook Superx LLC | Pharmacy | 2344 Covert Ave, Evansville, IN 47714-3814 | 2006-09-07 |
| 1447353966 | Hook Superx LLC | Pharmacy | 4700 Lincoln Ave, Evansville, IN 47714-0658 | 2006-09-07 |
| 1669575379 | Hook Superx LLC | Pharmacy | 2020 E Morgan Ave, Evansville, IN 47711-4310 | 2006-09-07 |
| 1538262050 | Hook Superx LLC | Pharmacy | 1145 Washington Ave, Evansville, IN 47714-1845 | 2006-09-07 |
| 1851494520 | Hook Superx LLC | Pharmacy | 609 N Saint Joseph Ave, Evansville, IN 47712-5554 | 2006-09-07 |
| 1770598807 | Walgreen Co | Pharmacy | 2015 Covert Ave, Evansville, IN 47714-3707 | 2006-07-29 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on TRI-STATE RX LLC.
| 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.