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EVANS CROSSING PHARMACY
NPI 1023505542
Pharmacy - Community/Retail Pharmacy in Evansdale, IA

Active since April 19, 2018CLIA 16D2172732 · Waiver
3506 LAFAYETTE RD, EVANSDALE, IA 50707(319) 233-3395(319) 233-3099 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 9, 2024, May 25, 2023, Oct 22, 2021 and 4 more (7 updates tracked since 2018).

About Evans Crossing Pharmacy NPPES

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

EVANS CROSSING PHARMACY (NPI 1023505542) is a healthcare organization registered as a community/retail pharmacy in Evansdale, Iowa and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through September 29, 2027 and lists Wesley Charles Pilkington, Officer, as its authorized official.

NPPES Registry Identity

NPI1023505542
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBLACKHAWK PHARMACY
Location Address3506 LAFAYETTE RDEvansdale, IA 50707-1025
Mailing Address3506 Lafayette RdEvansdale, IA 50707-1025 · (319) 233-3395 · Fax (319) 233-3099
Phone(319) 233-3395
Fax(319) 233-3099
Organization SubpartNo
Authorized OfficialWesley Charles PilkingtonOfficer · (319) 233-3395
Enumeration DateApril 19, 2018
Last NPPES UpdateMay 9, 20247 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1023505542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in IA · 1644
Definition
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedPharmacyTaxonomy 333600000X
3506 LAFAYETTE RD, Evansdale, IA 50707
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Other Names 1

Doing Business AsEvans Crossing Pharmacy

Other Identifiers 2

Other2176663Pk
Medicaid1023505542IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

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 16D2172732

Blackhawk Pharmacy,inc Dba Evans Crossing Pharmacy · Evansdale, IA
Active · expires Sep 29, 2027
CLIA Number16D2172732
Laboratory TypePharmacy
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorWesley C. Pilkington
Laboratory Phone(319) 233-3359
Laboratory LocationBlackhawk Pharmacy,inc Dba Evans Crossing Pharmacy3506 Lafayette Rd, Evansdale, IA 50707
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
29 services29 patients

Other Providers at the Same Location NPPES

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

EVANSDALE PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
3506 LAFAYETTE RD
EVANSDALE, IA 50707
Black Hawk County (319) 233-3395

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackhawk Pharmacy's NPI number?

The NPI number for Blackhawk Pharmacy is 1023505542. It was assigned to this organization in the NPPES registry on April 19, 2018. The provider is doing business as Evans Crossing Pharmacy.

Where is Blackhawk Pharmacy located?

Blackhawk Pharmacy is located at 3506 Lafayette Rd, Evansdale, IA 50707. The listed phone number is (319) 233-3395.

What is Blackhawk Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Blackhawk Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2172732) is associated with this NPI, valid through September 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blackhawk Pharmacy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 22 other insurers list Blackhawk Pharmacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blackhawk Pharmacy was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.