| NPI | 1104919547 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-09-30 |
| Last Updated | 2015-11-18 |
| Authorized Official | Jimmy Evetts OWNER Phone: 5808323388 |
| Mailing Address | 100 E 1st St Cordell, OK 73632-4810 United States Phone: (580) 832-3388 | Fax: (580) 832-5271 📍 View Map |
| Primary Practice Address | 100 E 1st St Cordell, OK 73632-4810 United States Phone: (580) 832-3388 | Fax: (580) 832-5271 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | OK | 100235580A | - |
| Other (non-Medicare) | - | 2072712 | PK |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 3336L0003X – Pharmacy, Long Term Care Pharmacy | - | - |
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | OK | 332098 |
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About NPI 1104919547
Evetts Drug Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1104919547. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in Cordell, OK. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1104919547?
NPI 1104919547 belongs to Evetts Drug Inc., a Pharmacy, Community/Retail Pharmacy in Cordell, OK. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1104919547 active?
The current status of NPI 1104919547 in the NPPES registry is Active. The record was last updated on 2015-11-18.
What specialty is NPI 1104919547?
NPI 1104919547 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1104919547?
You can verify NPI 1104919547 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1104919547?
The primary practice address on file for NPI 1104919547 is 100 E 1st St, Cordell, OK 73632-4810. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1104919547 issued?
NPI 1104919547 was first issued (enumerated) on 2006-09-30. The NPPES record was last updated on 2015-11-18.
Practice Location Map
Evetts Drug Inc. is located at 100 E 1st St, Cordell, OK. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Evetts Drug Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1104919547. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Pharmacy, Community/Retail Pharmacy | 332098 | OK |