Samuel D Evang
Community/Retail Pharmacy · Wylie, TX
Practice location
615 TX-78 Suite 200Wylie, TX 75098-4101
- Phone
- (972) 442-4277
NPI record
- NPI
- 1841732914
- Entity type
- Organization (Type 2)
- Enumeration date
- November 7, 2016
- Last updated
- April 23, 2020
- Certified
- April 23, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Community/Retail Pharmacy Primary | 3336C0003X |
31091 | TX |
| Durable Medical Equipment & Medical Supplies | 332B00000X |
— | — |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
— | — |
| Oxygen Equipment & Supplies (DME) | 332BX2000X |
— | — |
| Pharmacy | 333600000X |
— | — |
| Compounding Pharmacy | 3336C0004X |
— | — |
| Home Infusion Therapy Pharmacy | 3336H0001X |
— | — |
| Specialty Pharmacy | 3336S0011X |
— | — |
Mailing address
615 TX-78Suite 200
Wylie, TX 75098-4101
- Phone
- (972) 442-4277
Authorized official
- Name
- Samuel Desire Evang, PHARMD
- Title
- Pharmacist in Charge
- Phone
- (972) 442-4277
About Samuel D Evang
Samuel D Evang is a healthcare organization registered in the NPI registry with the primary taxonomy Community/Retail Pharmacy (code 3336C0003X). The practice location is 615 TX-78 Suite 200, Wylie, TX 75098-4101. The NPI number 1841732914 was assigned on November 7, 2016 and the record was last updated on April 23, 2020.
Samuel D Evang lists a license in the registry: #31091 (TX) for Community/Retail Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Samuel Desire Evang, PHARMD, Pharmacist in Charge.
Frequently asked questions
What is the NPI number of Samuel D Evang?
The NPI number is 1841732914.
What is the phone number of Samuel D Evang?
The phone number listed for the practice location is (972) 442-4277.
Where is Samuel D Evang located?
615 TX-78 Suite 200, Wylie, TX 75098-4101.
What is the taxonomy code for Samuel D Evang?
The primary taxonomy code is 3336C0003X – Community/Retail Pharmacy; 7 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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