EVANS PHARMACY VIATL CARE - NPI 1003835067

Q: What is Evans Pharmacy LLC's NPI number?

The NPI number for Evans Pharmacy LLC is 1003835067. It was assigned to this organization in the NPPES registry on July 19, 2006. The provider is doing business as Evans Pharmacy Viatl Care.

Q: What is Evans Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Home Infusion Therapy Pharmacy, with taxonomy code 3336H0001X.

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About Evans Pharmacy Viatl Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVANS PHARMACY VIATL CARE (NPI 1003835067) is a healthcare organization registered as a home infusion therapy pharmacy in Enid, Oklahoma and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Kyle Whitehead, Partner, as its authorized official.

NPPES Registry Identity

NPI1003835067

Entity TypeOrganization

Primary Taxonomy3336H0001X

Legal Business NameEVANS PHARMACY LLC

Location Address1106 W WILLOW RDEnid, OK 73703-2503

Mailing AddressPo Box 5047Meridian, MS 39302-5047 · (800) 447-4095 · Fax (601) 482-7490

Phone(508) 234-4343

Fax(580) 234-5477

Organization SubpartNo

Authorized OfficialKyle WhiteheadPartner · (580) 234-4343

Enumeration DateJuly 19, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003835067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Home Infusion Therapy PharmacySuppliers

Taxonomy Code3336H0001X

License✔ Licensed in OK · 5-4603

Definition

Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.

1106 W WILLOW RD, Enid, OK 73703

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Other Names 1

Doing Business AsEvans Pharmacy Viatl Care

Other Identifiers 1

Other37143288001OK · Bcbs Hit

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2182155

Evans Pharmacy · Enid, OK

Active · expires Apr 15, 2028

CLIA Number37D2182155

Laboratory TypePharmacy

Certificate Effective DateApril 16, 2026

Certificate Expiration DateApril 15, 2028

Laboratory DirectorKyle K. Whitehead

Laboratory Phone(580) 234-4343

Laboratory LocationEvans Pharmacy1106 W Willow, Enid, OK 73703

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT ROSS RPH

Pharmacist