Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Thomas Evans

Individual provider Pharmacist · NPI 1609426477

Michael Thomas Evans is a Pharmacist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
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Practice location Address checks out

4900 Wyalusing Ave Rm 106108
Philadelphia, PA 19131-5127
Phone: (215) 764-6519
Fax: (215) 477-1537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP030590L (PA)

Record details

NPI number1609426477
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2019
Last updated in NPPESSeptember 13, 2019

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