Organization
JOHN DOUGLAS EVANS
Active
Other names
COMMUNITY DRUG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EVANS RPH (OWNER)
(615) 855-1603
Entity
Organization
Contact information
Practice address
919 CONFERENCE DR, UNIT 4, GOODLETTSVILLE, TN 37072-1933
(615) 855-1603
(615) 855-1605
Mailing address
PO BOX 1267, GOODLETTSVILLE, TN 37070-1267
(615) 855-1603
(615) 855-1695
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
4227
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1455058
—
TN
01
—
4438758
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
07/01/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us