OrganizationActive
Evernorth Direct Health LLC
NPI 1134552508 · Non-Pharmacy Dispensing Site · Sunnyvale, TX
Provider details
- NPI number
- 1134552508
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- AP121686 (TX)
Specialties & taxonomies
Suppliers
Practice location
199 Planters Rd
Sunnyvale, TX 75182-9601
Phone: (214) 309-3438
Approximate (ZIP-level) locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Other names (DBA / former)
- Doing business as
- Mohawk -Tx- Dal Tile Sunnyvale
- Doing business as
- Mohawk -Tx- Dal Tile Sunnyvale
Registry dates
- Enumerated
- 2013-08-20
- Last updated
- 2021-05-03
- Certified
- 2021-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.