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EVANS DRUG COMPANY PLLC
NPI 1356434930
Pharmacy - Community/Retail Pharmacy in Fulton, KY

Active since October 02, 2006CLIA 18D2194160 · Waiver
214 LAKE STREET, FULTON, KY 42041(270) 472-2421(270) 472-0103 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2024, Oct 29, 2020, Oct 8, 2020 and 1 more (4 updates tracked since 2019).

About Evans Drug Company Pllc NPPES

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

EVANS DRUG COMPANY PLLC (NPI 1356434930) is a healthcare organization registered as a community/retail pharmacy in Fulton, Kentucky and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists David S Prater, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1356434930
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEVANS DRUG COMPANY PLLC
Location Address214 LAKE STREETFulton, KY 42041
Mailing Address214 Lake StreetFulton, KY 42041 · (270) 472-2421
Phone(270) 472-2421
Fax(270) 472-0103
Organization SubpartNo
Authorized OfficialDavid S PraterOwner/pharmacist · (270) 472-2421
Enumeration DateOctober 2, 2006
Last NPPES UpdateDecember 20, 20244 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1356434930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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 ListedPharmacistTaxonomy 183500000X · License 10684 (KY)
214 LAKE STREET, Fulton, KY 42041
Open in Google Maps ↗

Other Identifiers 1

Medicaid54035050KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 18D2194160

Evans Drug Company LLC · Fulton, KY
Active · expires Sep 28, 2026
CLIA Number18D2194160
Laboratory TypePharmacy
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorMr. David Prater
Laboratory Phone(270) 472-2421
Laboratory LocationEvans Drug Company LLC214 Lake St, Fulton, KY 42041
CLIA data matches this NPI record on: Address Name Phone
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.
54 services54 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.
32 services32 patients

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Evans Drug Co PLLC carries, from the Medicare DMEPOS supplier directory.

Evans Drug Co PLLC

DMEPOS supplier · Fulton, KYOperated by Evans Drug Company PLLC
⋮

Does not accept Medicare assignment

Evans Drug Co PLLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20555093
Medicare Participant SinceOctober 13, 2008
Supplier Location214 Lake StFulton, KY 42041
Phone(270) 472-2421
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Evans Drug Company PLLC's NPI number?

The NPI number for Evans Drug Company PLLC is 1356434930. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Evans Drug Company PLLC located?

Evans Drug Company PLLC is located at 214 Lake Street, Fulton, KY 42041. The listed phone number is (270) 472-2421.

What is Evans Drug Company PLLC's specialty?

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

Does Evans Drug Company PLLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Evans Drug Co PLLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Evans Drug Company PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2194160) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evans Drug Company PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Evans Drug Company PLLC 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 Evans Drug Company PLLC was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.