EVERGREEN PHARMACEUTICAL OF CALIFORNIA, INC. (NPI# 1588734123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588734123 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PHARMACEUTICAL OF CALIFORNIA, INC. |
| Other Organization Name | OMNICARE OF SAN DIEGO |
| Practice Address |
5601 Oberlin Dr Suite 124 San Diego CA 92121-3747 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 8584534295 |
| Practice Fax Number | 8854539983 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Omnicare of San Diego | Doing Business As Name - Organization |
| Omnicare of San Diego #48217 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982773172 | Evergreen Pharmaceutical of California, Inc. | Durable Medical Equipment & Medical Supplies | 6643 Valjean Ave, Van Nuys, CA 91406-5817 | 2006-11-06 |
| 1356429369 | Evergreen Pharmaceutical of California, Inc. | Pharmacy | 850 S Guild Ave, Lodi, CA 95240-3170 | 2006-11-01 |
| 1871605105 | Evergreen Pharmaceutical of California, Inc. | Pharmacy | 20967 Cabot Blvd, Hayward, CA 94545-1155 | 2006-08-31 |
| 1679685994 | Evergreen Pharmaceutical of California, Inc. | Pharmacy | 13825 Cerritos Corporate Dr, Suite A 1 & A2, Cerritos, CA 90703-2471 | 2006-08-31 |
| 1013026608 | Evergreen Pharmaceutical of California, Inc. | Pharmacy | 879 2nd St, Santa Rosa, CA 95404-4621 | 2006-08-29 |
| 1821010729 | Evergreen Pharmaceutical of California, Inc. | Pharmacy | 8220 Remmet Ave, Canoga Park, CA 91304-4156 | 2006-07-23 |
| 1922040740 | Evergreen Pharmaceutical of California, Inc. | Pharmacy | 5200 Churn Creek Rd, Suite A, Redding, CA 96002-3930 | 2006-06-13 |
| Street Address |
5601 OBERLIN DR SUITE 124 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1669019113 | Shanzo Inc | Pharmacy | 6255 University Ave Ste A1, San Diego, CA 92115-5727 | 2019-12-03 |
| 1265077283 | Western Pharmacy Group LLC | Pharmacy | 610 Gateway Center Way Ste H-i, San Diego, CA 92102-4533 | 2019-11-13 |
| 1003374554 | Eldahmy Wellness Pharmacy Inc. | Pharmacy | 1985 National Ave, San Diego, CA 92113-2154 | 2019-03-04 |
| 1932332343 | Rezcare Pharmacy Inc. | Pharmacy | 3821 Calle Fortunada Ste D, San Diego, CA 92123-4811 | 2009-09-01 |
| 1295367761 | Hillcrest Pharmacy Inc | Pharmacy | 120 University Ave, San Diego, CA 92103-3007 | 2020-02-12 |
| 1427499128 | Rty Pharmaceutical Inc | Pharmacy | 5222 Balboa Ave, San Diego, CA 92117-6904 | 2013-07-10 |
| 1992861595 | Real World Enterprises | Pharmacy | 13220 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4103 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508465873 | Nskape Inc | Pharmacy | 6780 Indiana Ave Ste 145, Riverside, CA 92506-4270 | 2020-10-19 |
| 1770193641 | 986 Specialty Pharmacy Pasadena Inc | Pharmacy | 1719 E Walnut St, Pasadena, CA 91106-1611 | 2020-08-05 |
| 1356951370 | Valley Scripts | Pharmacy | 1150 W Robinhood Dr Ste 2b, Stockton, CA 95207-5630 | 2020-08-04 |
| 1518585587 | Asr Health Inc. | Pharmacy | 12677 Hesperia Rd Ste 180, Victorville, CA 92395-7754 | 2020-07-07 |
| 1619594660 | Burts Specialty Pharmacy | Pharmacy | 2628 Conejo Center Dr, Thousand Oaks, CA 91320-1407 | 2020-06-25 |
| 1972128676 | Maggie's Pharmacy Inc | Pharmacy | 2315 Kuehner Dr Ste 108, Simi Valley, CA 93063-3960 | 2020-06-09 |
| 1629604368 | Jafa Pharmaceuticals, Inc. | Pharmacy | 95 Montgomery Dr Ste 108, Santa Rosa, CA 95404-6617 | 2020-03-13 |
| 1083255129 | Desert Best Pharmacy, Inc. | Pharmacy | 170 E Tahquitz Canyon Way, Palm Springs, CA 92262-6431 | 2019-09-30 |
| 1538718838 | Xpress Med Pharmacy Inc | Pharmacy | 16929 Bushard St, Fountain Valley, CA 92708-2819 | 2019-09-09 |
| 1275180580 | Proscript Pharmacy Inc | Pharmacy | 7462 N Fresno St, Fresno, CA 93720-2404 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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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.