Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952497604 Individual Practitioner Male Practitioner

Evan Dale Theobald , PHARMACIST

Pharmacist • Provo, UT

Professional Overview & Biography Verified Profile Summary

Evan Theobald, PHARMACIST is a registered healthcare professional specializing in Pharmacist in Provo, UT. Practice services are available at 1034 NORTH 500 WEST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1034 North 500 West

Provo, UT 84604

Telephone 8013577051
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
65 Specialists

Practicing in Provo, UT (2037 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License UT 143869

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License NV 06547

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1093817736

Doctor of Pharmacy (Pharm.D.)

Jameson Little

Pharmacist

NPI 1194910471
NPI 1245448364

Registered Pharmacist

NPI 1497855423

Doctor of Pharmacy (Pharm.D.)

NPI 1508932534

Doctor of Pharmacy (Pharm.D.)

NPI 1558571554

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1034 NORTH 500 WEST, PROVO, UT 84604 (Tel: 8013577051)

📍
Updated Business Mailing Address July 08, 2007

Registered at 668 EAST 770 SOUTH, PAYSON, UT 84651 (Tel: 8014659175)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EVAN THEOBALD, PHARMACIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #143869 in UT)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952497604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

668 East 770 South

Payson, UT 84651

Phone: 8014659175

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.