Victory Clairissa Elizabeth Evans, PharmD
Pharmacist in Madison, FL. Individual provider (NPI-1).
NPI number1831787563
StatusActive
Last updated in NPPESJan 7, 2021
Details
- NPI
- 1831787563
- Entity type
- Individual (NPI-1)
- Name
- Victory Clairissa Elizabeth Evans
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2021
- Certification date
- Jan 7, 2021
- Last updated
- Jan 7, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS60265 | FL | Yes |
Practice location
729 W Base StMadison, FL 32340-1461
Phone 850-973-2719
Mailing address
2303 Sw Pettis Springs CirGreenville, FL 32331-3424
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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