OMNICARE OF SANTA ROSA #48218
NPI 1013026608
Pharmacy - Long Term Care Pharmacy in Santa Rosa, CA

Active since August 29, 2006
879 2ND ST, SANTA ROSA, CA 95404(707) 578-0399 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2021, Mar 1, 2019, Nov 16, 2015 (3 updates tracked since 2015).

About Omnicare Of Santa Rosa #48218 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNICARE OF SANTA ROSA #48218 (NPI 1013026608) is a healthcare organization registered as a long term care pharmacy in Santa Rosa, California and active in the NPI registry since August 2006. The organization lists Susan Colbert, Sr Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1013026608
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameEVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC
Location Address879 2ND STSanta Rosa, CA 95404-4621
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Organization SubpartNo
Authorized OfficialSusan ColbertSr Director, Payer Relations · (401) 770-2751
Enumeration DateAugust 29, 2006
Last NPPES UpdateJanuary 4, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1013026608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
879 2ND ST, Santa Rosa, CA 95404

Other Names 1

Doing Business AsOmnicare Of Santa Rosa #48218

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Omnicare Of Santa Rosa carries, from the Medicare DMEPOS supplier directory.

Omnicare Of Santa Rosa

DMEPOS supplier · Santa Rosa, CAOperated by Evergreen Pharmaceutical Of California, LLC

Accepts Medicare assignment

Omnicare Of Santa Rosa agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20552093
Medicare Participant SinceMay 10, 2009
Supplier Location879 2nd StSanta Rosa, CA 95404
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Pharmaceutical Of California, LLC's NPI number?

The NPI number for Evergreen Pharmaceutical Of California, LLC is 1013026608. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as Omnicare Of Santa Rosa #48218.

Where is Evergreen Pharmaceutical Of California, LLC located?

Evergreen Pharmaceutical Of California, LLC is located at 879 2nd St, Santa Rosa, CA 95404. The listed phone number is (707) 578-0399.

What is Evergreen Pharmaceutical Of California, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Evergreen Pharmaceutical Of California, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Omnicare Of Santa Rosa accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Evergreen Pharmaceutical Of California, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Evergreen Pharmaceutical Of California, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Evergreen Pharmaceutical Of California, LLC was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.