EVAN J. ODRISCOLL RPH – NPI #1104681519
Pharmacist

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.

EVAN ODRISCOLL is a pharmacist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1104681519 to EVAN ODRISCOLL on February 14, 2024. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 183500000X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVAN ODRISCOLL below.

NPI Profile for
EVAN J. ODRISCOLL

NPI Number
1104681519
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EVAN J. ODRISCOLL
Credentials
RPH
Primary location
3610 PLAINFIELD AVE NE
GRAND RAPIDS, MI 49525-2402
Phone: (906) 241-6960 Fax:
Mailing address
1231 HAMILTON AVE NW
GRAND RAPIDS, MI 49504-3222
Phone: (906) 241-6960 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
183500000X
- Pharmacist (Primary)
MI 5302415842

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.