EVERGREEN PHARMACY INC (NPI# 1396933545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396933545 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PHARMACY INC |
| Other Organization Name | EVERGREEN PHARMACY |
| Practice Address |
2690 S White Rd Ste 200a San Jose CA 95148-2076 |
| Mailing Address |
Po Box 731556 San Jose CA 95173-1556 |
| Practice Telephone | 4082700670 |
| Practice Fax Number | 8552747399 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2017-02-28 |
| Authorized Official Name | KEVIN DANG (PRESIDENT) |
| Authorized Official Telephone | 4082700670 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
48826 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1396933545 | 05 | |
| PK | 2112962 | 01 |
| Other Name | Type Code |
|---|---|
| EVERGREEN PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033740691 | Evergreen Pharmacy Inc | Pharmacy | 4110 S Maryland Pkwy Ste 17, Las Vegas, NV 89119-7505 | 2020-01-31 |
| 1861852030 | Evergreen Pharmacy Inc | Pharmacy | 2365 Quimby Rd Ste 150, San Jose, CA 95122-1337 | 2016-03-02 |
| 1740549500 | Evergreen Pharmacy Inc | Pharmacy | 875 E 10th Ave, Hialeah, FL 33010-4645 | 2012-05-14 |
| 1720199888 | Evergreen Pharmacy Inc | Pharmacy | 20010 W Warren Ave, Detroit, MI 48228-3250 | 2006-08-31 |
| Street Address |
2690 S WHITE RD STE 200A |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95148-2076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548202849 | Golden Hills Optometry, Inc. | Optometrist | 2690 S White Rd, Suite 255, San Jose, CA 95148-2098 | 2006-06-12 |
| 1245778513 | Sio Chin Feng | Nurse Practitioner | 2690 S White Rd, Suite 200, San Jose, CA 95148-2076 | 2017-02-07 |
| 1164968178 | Freedom Choice Healthcare Inc | Clinic/Center | 2690 S White Rd, Suite 95, San Jose, CA 95148-2076 | 2017-01-13 |
| 1063861466 | Kevin Dang | Pharmacist | 2690 S White Rd, Suite 200-a, San Jose, CA 95148-2076 | 2016-06-07 |
| 1659678712 | Javier Esquivel-acosta | Physician Assistant | 2690 S White Rd, Suite 95, San Jose, CA 95148-2076 | 2011-02-24 |
| 1710293634 | Ying Yang | Acupuncturist | 2690 S White Rd, Suite 80, San Jose, CA 95148-2076 | 2010-08-30 |
| 1518121797 | Nhon D Lam Chiropractic Corporation | Chiropractor | 2690 S White Rd, Suite 40, San Jose, CA 95148-2076 | 2008-07-16 |
| 1447458138 | Marilyn Tin Wong | Internal Medicine | 2690 S White Rd, 200, San Jose, CA 95148-2077 | 2007-07-05 |
| 1578766002 | Donald Siao, Md, A Medical Corporation | Family Medicine | 2690 S White Rd, Suite #200, San Jose, CA 95148-2076 | 2007-06-11 |
| 1396949822 | Evergreen Hills Medical Group | Clinic/Center | 2690 S White Rd, Suite 200, San Jose, CA 95148-2076 | 2007-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902415540 | World Trekker LLC | Home Health | 2756 White Acres Drive, San Jose, CA 95148 | 2020-07-29 |
| 1962932749 | Mychau Nhu Nguyen | Acupuncturist | 2710 Gumdrop Drive, San Jose, CA 95148 | 2017-06-14 |
| 1457705808 | Dzuy V Bi | Optometrist | 2670 S White Rd Ste 200, San Jose, CA 95148 | 2016-04-21 |
| 1235489626 | Emerlyn Sangha | Dental Hygienist | 1878 Oakton Court, San Jose, CA 95148 | 2012-09-13 |
| 1073863502 | Uyen-ly Hoang Nguyen | Counselor | 2792 White Acres Dr, San Jose, CA 95148 | 2012-09-12 |
| 1780955880 | Tiffany Thy Nguyen | Pharmacist | 3121 Norwood Avenue, San Jose, CA 95148 | 2012-01-20 |
| 1215204722 | Stacey Nguyen | Pharmacist | 2799 S. White Road, San Jose, CA 95148 | 2011-11-28 |
| 1760670798 | Jamie Victoria Santiago | Chiropractor | 8010 Wayland Ln. Ste 1b, Gilroy, CA 95148 | 2007-10-03 |
| 1003021494 | Rosemary Evans | Dentist | 2680 S White Road, Suite 100, San Jose, CA 95148 | 2007-05-11 |
| 1942334073 | Evelyn Gaviola | Physical Therapist | 2670 S White Rd Ste 120, San Jose, CA 95148 | 2007-03-14 |
| Find all providers in zip 95148 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952618 | Dajaju Pharmaceuticals | Pharmacy | 2611 Senter Rd Ste 100, San Jose, CA 95111-1185 | 2020-08-11 |
| 1285259473 | Advance Sj Pharmacy, Inc | Pharmacy | 2331a Montpelier Dr Ste A-10, San Jose, CA 95116-1614 | 2020-06-12 |
| 1902388697 | Downtown Pharmacy Inc | Pharmacy | 60 N 13th St Ste A, San Jose, CA 95112-3525 | 2018-08-30 |
| 1811490659 | Tiffany Thu, Inc. | Pharmacy | 2323 Montpelier Dr Ste D, San Jose, CA 95116-1611 | 2018-03-16 |
| 1346769395 | S4 Pharmacy Inc | Pharmacy | 3130 Alum Rock Ave, San Jose, CA 95127-2901 | 2017-09-11 |
| 1780062547 | Lion Pharmacy Inc | Pharmacy | 2857 Senter Rd Ste A, San Jose, CA 95111-1100 | 2015-05-13 |
| 1205268984 | Icare Pharmacy | Pharmacy | 1727 Berryessa Rd Ste B, San Jose, CA 95133-1172 | 2013-08-05 |
| 1952532194 | Regional Pharmacy Inc. | Pharmacy | 200 Jose Figueres Ave Ste 235, San Jose, CA 95116-1599 | 2009-08-06 |
| 1427221944 | Friendly Pharmacy Incorporated | Pharmacy | 639 Tully Rd Ste A, San Jose, CA 95111-1000 | 2008-04-04 |
| 1265629802 | Farmacia Remedios Inc | Pharmacy | 996 S King Rd, San Jose, CA 95116-3506 | 2007-09-27 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.