Evernorth Direct Health LLC
NPI 1053744417ActiveOrganization· Non-Pharmacy Dispensing Site· Dallas, TX
Non-Pharmacy Dispensing Site in Dallas, Texas, registered in NPPES in August 2013, part of Medvantx, Inc. The authorized official on file is Kenny Heine, Vp Of Operations.
Overview
| NPI | 1053744417 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Medvantx, Inc |
| NPI issued | Aug 20, 2013 |
| Last updated in NPPES | May 3, 2021 |
| Certified by provider | May 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | F0848 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Non-Pharmacy Dispensing Site providers in Dallas
- 1366939738
- 1558070649
- 1740763663
- 1912651779