EVANS DRUG STORE – NPI #1861497877
Pharmacy

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.

Health Care Provider Taxonomy Code for Pharmacy

EVANS DRUG STORE is a pharmacy located in SHEPHERD, MI. NPPES has assigned the NPI number 1861497877 to EVANS DRUG STORE on June 16, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EVANS DRUG STORE” is a dba name, the actual legal business name for this organization is LIPPERT ENTERPRISES INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3336C0003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacy, specializing in Community/Retail Pharmacy

The NPI profile was previously updated about 18 years ago on Aug 04, 2008. 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 EVANS DRUG STORE below.

NPI Profile for
LIPPERT ENTERPRISES INC

NPI Number
1861497877
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIPPERT ENTERPRISES INC
Doing Business As (dba): EVANS DRUG STORE
Primary location
257 W WRIGHT AVE
EVANS DRUG STORE
SHEPHERD, MI 48883
Phone: (989) 828-6057 Fax: (989) 828-6821
Mailing address
P.O. BOX 69
EVANS DRUG STORE
SHEPHERD, MI 48883
Phone: (989) 828-6057 Fax: (989) 828-6821
Organization Subpart
Yes - EVANS DRUG STORE is subpart of another organization.
Authorized Official
JOHN ISERHOTH
PHARMACY MANAGER
Phone: (989) 828-6057
Updated
Identifiers

Identifiers for EVANS DRUG STORE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI2366739
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
3336C0003X
- Pharmacy / Community/Retail Pharmacy (Primary)		 MI 5301008051
183500000X
- Pharmacist		 MI 5301008051

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.