EVERGREEN PHARMACEUTICAL OF CALIFORNIA, INC. (NPI# 1982773172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982773172 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PHARMACEUTICAL OF CALIFORNIA, INC. |
| Other Organization Name | NEIGHBORCARE - VAN NUYS |
| Practice Address |
6643 Valjean Ave Van Nuys CA 91406-5817 |
| Mailing Address |
100 E Rivercenter Blvd Suite 1600 Covington KY 41011-1555 |
| Practice Telephone | 8187560888 |
| Practice Fax Number | 8187806626 |
| Mailing Telephone | 8593923300 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | MR. REGIS ROBBINS (SECRETARY) |
| Authorized Official Telephone | 8593923300 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PHY 47255 | CA | Suppliers |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PHY 47255 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA472550 | 05 | |
| CA | NCPDP | 0577277 | 01 |
| Other Name | Type Code |
|---|---|
| Neighborcare - Van Nuys | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588734123 | Evergreen Pharmaceutical of California, Inc. | Pharmacy | 5601 Oberlin Dr, Suite 124, San Diego, CA 92121-3747 | 2006-11-09 |
| 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 |
6643 VALJEAN AVE |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91406-5817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194926428 | Neighborcare-tci, LLC | Durable Medical Equipment & Medical Supplies | 6643 Valjean Ave, Van Nuys, CA 91406-5817 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628953 | Elizabeth Leon Sanchez | Marriage & Family Therapist | 16360 Van Nuys Blvd, Van Nuys, CA 91406 | 2019-09-18 |
| 1720573926 | Kina Dennis | Specialist/Technologist | 17216 Saticoy Street, 609, Van Nuys, CA 91406 | 2018-06-29 |
| 1902398951 | Roland Hinds | Rehabilitation Practitioner | 16360 Roscoe Blvd # 2, Van Nuys, CA 91406 | 2018-06-05 |
| 1528576691 | Vyacheslav Alec Pekler | Naturopath | 7025 Adea Ave, Lake Balboa, CA 91406 | 2018-01-11 |
| 1366960999 | Gentle Ride LLC Dba Safeaid | Non-emergency Medical Transport (VAN) | 6747 Odessa Ave Ste 101, Van Nuys, CA 91406 | 2017-09-04 |
| 1396265252 | Developmental Pathways, Inc. | Physical Therapist | 7120 Hayvenhurst Ave Ste 308, Van Nuys, CA 91406 | 2017-06-22 |
| 1952850729 | Leisure Village, Inc | Assisted Living Facility | 6726 1/2 Gaviota Ave., Lake Balboa, CA 91406 | 2016-09-22 |
| 1689037426 | Mahnaz Rashidimoakhar | Physical Therapy Assistant | 6452 Woodley Ave, Unit 4, Van Nuys, CA 91406 | 2016-03-30 |
| 1306264205 | Angel Hospice Care, Inc. | Hospice Care, Community Based | 16114 Hart St, Van Nuys, CA 91406 | 2014-03-29 |
| 1871924589 | Well Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 6525 Woodley Ave. Unit #205, Lake Balboa, CA 91406 | 2013-12-05 |
| Find all providers in zip 91406 | ||||
| Taxonomy Code | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851274 | Apollo Medical Equipment | Durable Medical Equipment & Medical Supplies | 16104a Hart St, Van Nuys, CA 91406-3903 | 2020-11-06 |
| 1922318740 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 7929 Ruffner Ave, Van Nuys, CA 91406-1633 | 2010-10-14 |
| 1942403068 | Debs Medical Distributors Inc | Durable Medical Equipment & Medical Supplies | 13615 Victory Blvd Ste 136, Van Nuys, CA 91401-1737 | 2007-06-06 |
| 1265404081 | Patrick Adebowale Sogbein | Durable Medical Equipment & Medical Supplies | 13615 Victory Blvd, Suite136, Van Nuys, CA 91401-1737 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766896 | Clearfast, Inc | Durable Medical Equipment & Medical Supplies | 160 Chesterfield Dr, Ste 101, Cardiff By The Sea, CA 92007-1900 | 2020-09-29 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1699262808 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 4900 Rivergrade Rd Ste E120, Irwindale, CA 91706-1419 | 2018-04-13 |
| 1245773043 | Hygeia II Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 1121 W Valley Blvd, Suite I, Tehachapi, CA 93561-2171 | 2016-11-28 |
| 1336531276 | You Chu Xia | Durable Medical Equipment & Medical Supplies | 1972 W Holt Ave, Pomona, CA 91768-3305 | 2015-03-02 |
| 1477807006 | Ashli Healthcare Inc | Durable Medical Equipment & Medical Supplies | 323 W Cromwell Ave, Suite 117, Fresno, CA 93711-5844 | 2012-11-05 |
| 1417209438 | Optum Infusion Services 401, LLC | Durable Medical Equipment & Medical Supplies | 4610 Northgate Blvd, Ste. 130, Sacramento, CA 95834-1122 | 2012-10-15 |
| 1821353335 | Go2medical, LLC | Durable Medical Equipment & Medical Supplies | 2003 S El Camino Real, Suite 204, Oceanside, CA 92054-6214 | 2012-07-10 |
| 1740589241 | H & H Drug Sores, Inc. | Durable Medical Equipment & Medical Supplies | 4674 E Waterloo Rd, Stockton, CA 95215-2309 | 2011-03-23 |
| 1598068512 | Fundamental Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 7114 Reseda Blvd, Reseda, CA 91335-4210 | 2010-12-14 |
| 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.