EVERGREEN PHARMACY INC (NPI# 1740549500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740549500 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PHARMACY INC |
| Other Organization Name | EVERGREEN PHARMACY INC |
| Practice Address |
875 E 10th Ave Hialeah FL 33010-4645 |
| Practice Telephone | 7863604945 |
| Practice Fax Number | 7863604955 |
| Mailing Telephone | 7863604945 |
| Mailing Fax Number | 7863604955 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | AUGUSTINE ORANUSI (OWNED/PHARMACIST) |
| Authorized Official Telephone | 9544782950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH26138 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2137257 | 01 | |
| FL | 008565300 | 05 |
| Other Name | Type Code |
|---|---|
| EVERGREEN PHARMACY INC | 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 |
| 1396933545 | Evergreen Pharmacy Inc | Pharmacy | 2690 S White Rd, Ste 200a, San Jose, CA 95148-2076 | 2007-10-11 |
| 1720199888 | Evergreen Pharmacy Inc | Pharmacy | 20010 W Warren Ave, Detroit, MI 48228-3250 | 2006-08-31 |
| Street Address |
875 E 10TH AVE |
| City | HIALEAH |
| State | FL |
| Zip Code | 33010-4645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760407639 | New Day Therapy Center, Inc | Clinic/Center | 875 E 10th Ave, Hialeah, FL 33010-4645 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068619 | Julia Maria Hernandez | Behavior Technician | 28 Essex Ave, Hialeah, FL 33010 | 2019-05-17 |
| 1376018804 | Clinica Las Mercedes Iv, Inc. | Clinic/Center | 149 West 21st Street, Hialeah, FL 33010 | 2018-10-11 |
| 1760965172 | Carolyn Troche | Behavior Technician | 2695 W 6th Ave, Hialeah, FL 33010 | 2018-09-11 |
| 1013499714 | Marilyn Rueda | Counselor | 310 E 5th St., Hialeah, FL 33010 | 2018-08-30 |
| 1467932954 | Maribel Zorrilla | Home Health Aide | 840 Se 1st, Hialeah, FL 33010 | 2018-08-15 |
| 1790277382 | Rafael Mugia Fernandez | Behavior Technician | 695 E 8th Ct, Hialeah, FL 33010 | 2018-05-31 |
| 1669962999 | Odalis Gonzalez | Behavior Technician | 282 E 18th St, Hialeah, FL 33010 | 2018-05-11 |
| 1760989651 | Fernando Oscar Larrua Gonzalez | Behavior Technician | 950 W 3rd Ave Apt 18, Hialeah, FL 33010 | 2018-04-09 |
| 1598267056 | Nubia Sierra | Technician, Other | 906 E 4 Ave, Hialeah, FL 33010 | 2018-03-01 |
| 1275033037 | Catisleidys N/a Maqueira | Behavior Technician | Catisleidys Maqueira, 304 W 19 Tu Street Apt Rear, Hialeah, FL 33010 | 2018-02-19 |
| Find all providers in zip 33010 | ||||
| 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 |
|---|---|---|---|---|
| 1568083830 | Mj Pharmacy & Discount LLC | Pharmacy | 1545 West 62nd Street, Suite 62, Hialeah, FL 33014 | 2020-04-28 |
| 1417508573 | Citrus Health Network | Pharmacy | 551 W 51st Pl Fl 1, Hialeah, FL 33012-3601 | 2019-09-20 |
| 1124593645 | Good Shepherd Pharmacy | Pharmacy | 5337 W 20th Ave # 33012, Hialeah, FL 33012-2100 | 2018-10-11 |
| 1700328473 | Tu Salud Pharmacy Inc | Pharmacy | 4294 Palm Ave, Hialeah, FL 33012-4283 | 2016-11-13 |
| 1710378484 | Janet Pharmacy Discount Inc | Pharmacy | 6743 W 4th Ave, Hialeah, FL 33012-6605 | 2015-02-16 |
| 1184015026 | Total Pharmacy & Discount Corp | Pharmacy | 48 E 5th St, Hialeah, FL 33010-4842 | 2015-02-13 |
| 1720478332 | International Pharmacy Inc | Pharmacy | 480 Palm Ave, Hialeah, FL 33010 | 2015-02-03 |
| 1326438383 | Laser Pharmacy Corp | Pharmacy | 53 W 21st St Ste 4, Hialeah, FL 33010-2647 | 2015-01-29 |
| 1467842815 | First Solution Pharmacy Corp | Pharmacy | 3782 W 12th Ave, Hialeah, FL 33012-4126 | 2015-01-23 |
| 1922400365 | M & P Pharmacy | Pharmacy | 2570 W 84th St, Hialeah, FL 33016-5702 | 2014-09-17 |
| Find all providers in HIALEAH | ||||
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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.