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Tri State Rx, LLC

Tri State Rx, LLC is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in Evansville, IN, holding Type 2 (organization) NPI 1952558686 since 2008. The authorized official on file is Mark Haywood, Pharmacy Manager.

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NPI 1952558686
Entity type Organization (Type 2)
Legal business name Tri State Rx, LLC
Other name <Unavail>
Practice address 4849 POLLACK AVE, Evansville, IN, 47715
Phone 8129624664
Fax 8129624660
Enumeration date 2008-08-25
Last updated in NPPES 2008-08-25

Authorized official

Name Mark Haywood
Title Pharmacy Manager
Phone 8129624664

Taxonomy & classification

Taxonomy code Specialty Primary License State
332B00000X Durable Medical Equipment & Medical Supplies Primary 200460670A IN

Other identifiers

Identifier Type State Issuer
200460670A Medicaid IN
Copy-ready billing details
Provider: Tri State Rx, LLC
NPI: 1952558686
Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies)
Address: 4849 POLLACK AVE, Evansville, IN, 47715

Providers at this address

NPI Name Type Specialty Location
1184728131 Tri-State Rx LLC Organization Community/Retail Pharmacy Evansville, IN
1598315400 Evvrx LLC Organization Community/Retail Pharmacy Evansville, IN
1861013781 Mark Haywood Individual Community/Retail Pharmacy Evansville, IN

Verify this record

Cross-check NPI 1952558686 against the authoritative CMS record: view Tri State Rx, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Tri State Rx, LLC located?
The practice location on file with NPPES is in Evansville, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-08-25. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-08-25.