MR. EVAN DALE THEOBALD PHARMACIST
NPI 1952497604
Pharmacist in Provo, UT

Active since October 04, 2006
1034 NORTH 500 WEST, PROVO, UT 84604(801) 357-7051 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Evan Dale Theobald Pharmacist NPPES

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

MR. EVAN DALE THEOBALD PHARMACIST (NPI 1952497604) is an individual pharmacist in Provo, Utah, licensed in Utah (143869) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1952497604
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. EVAN DALE THEOBALDCredential: PHARMACIST
Location Address1034 NORTH 500 WESTProvo, UT 84604
Mailing Address668 East 770 SouthPayson, UT 84651 · (801) 465-9175
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1952497604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in UT · 143869 Licensed in NV · 06547
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1034 NORTH 500 WEST, Provo, UT 84604

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Emergency Medicine (Emergency Medical Services)
1034 NORTH 500 WEST
PROVO, UT 84604
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604
Anesthesiology
1034 NORTH 500 WEST, UTAH VALLEY REGIONAL MEDICAL CENTER
PROVO, UT 84604

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 Evan Theobald's NPI number?

The NPI number for Evan Theobald is 1952497604. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Evan Theobald located?

Evan Theobald practices at 1034 North 500 West, Provo, UT 84604. The listed phone number is (801) 357-7051.

What is Evan Theobald's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Evan Theobald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.