EVETTS PHARMACY INC. (NPI# 1619055860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619055860 |
| Entity Type | Organization |
| Organization Name | EVETTS PHARMACY INC. |
| Other Organization Name | THE MEDICINE SHOPPE |
| Practice Address |
920 Estate Dr Memphis TN 38119-0601 |
| Practice Telephone | 9016833511 |
| Mailing Telephone | 9016833511 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | KEVIN JEFFREY EVETTS (OWNER PHARMACIST) |
| Authorized Official Telephone | 9016833511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
739 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | DEA # | BM6635974 | 01 |
| TN | NCPDP # | 4401650 | 01 |
| TN | 4674470001 | 05 |
| Other Name | Type Code |
|---|---|
| THE MEDICINE SHOPPE | Doing Business As Name - Organization |
| Street Address |
920 ESTATE DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-0601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011103 | Harry Friedman | Neurological Surgery | 920 Estate Dr, Suite 16, Memphis, TN 38119 | 2005-05-23 |
| 1124313150 | Amanda Leigh Taylor | Nurse Practitioner | 920 Estate Dr, Suite 8, Memphis, TN 38119-0601 | 2011-06-17 |
| 1164739298 | Harry Friedman Clinic, PC | Neurological Surgery | 920 Estate Dr, Suite 16, Memphis, TN 38119-0601 | 2010-09-10 |
| 1720245707 | Segal Parker Kronenberg Tsiu & Eiseman | Specialist | 920 Estate Dr, Memphis, TN 38119-0601 | 2008-05-19 |
| 1699987842 | Fatima Shahbaz | Pediatrics | 920 Estate Dr, Suite 3, Memphis, TN 38119-0601 | 2007-05-03 |
| 1164595922 | Robert Martin Eiseman | Pediatrics | 920 Estate Dr, Suite 3, Memphis, TN 38119-0601 | 2006-11-17 |
| 1023181161 | Joel Ivan Kronenberg | Pediatrics | 920 Estate Dr, Suite 3, Memphis, TN 38119-0601 | 2006-11-16 |
| 1144393273 | Willie Tsiu | Pediatrics | 920 Estate Dr, Suite 3, Memphis, TN 38119-0601 | 2006-11-16 |
| 1447338777 | Kevin Jeffrey Evetts | Pharmacist | 920 Estate Dr, Memphis, TN 38119-0601 | 2006-11-02 |
| 1295716355 | Irving Cherny | Dentist | 920 Estate Dr, Suite #4, Memphis, TN 38119-0601 | 2005-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| 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] |
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|---|---|---|---|---|
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1740831072 | Avita Drugs Tennessee, LLC | Pharmacy | 806 S Cooper St Ste A, Memphis, TN 38104-5406 | 2019-09-27 |
| 1619536570 | A Transition To Independence | Pharmacy | 2778 Treasure Island Dr E, Memphis, TN 38115-1707 | 2019-06-13 |
| 1992248702 | Anovorx Group LLC | Pharmacy | 1710 Shelby Oaks Dr N Ste 5, Memphis, TN 38134-7403 | 2016-11-28 |
| 1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
| 1710372214 | Getwell Pharmacy LLC | Pharmacy | 3960 Knight Arnold Rd Ste 112, Memphis, TN 38118-3001 | 2015-04-01 |
| 1518397199 | Freds Stores of Tennessee Inc | Pharmacy | 1290 Lamar Ave, Memphis, TN 38104 | 2013-11-19 |
| 1073946091 | Quality Rx Compounding LLC | Pharmacy | 920 Estate Dr Ste 8, Memphis, TN 38119-3608 | 2013-08-13 |
| 1417209016 | Freds Stores of Tennessee Inc | Pharmacy | 7965 E Shelby Dr, Memphis, TN 38125-3755 | 2012-10-05 |
| Find all providers in MEMPHIS | ||||
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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.