EVERGREEN PHARMACY INC
NPI 1033740691
Pharmacy in Las Vegas, NV

Active since January 31, 2020
4110 S MARYLAND PKWY STE 17, LAS VEGAS, NV 89119(702) 462-6262(702) 462-5654 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Accepts Insurance

About EVERGREEN PHARMACY INC

This page provides the complete NPI Profile along with additional information for Evergreen Pharmacy Inc, a provider established in Las Vegas, Nevada operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1033740691 assigned on January 2020. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Shereen Hassan (Director)

NPI
1033740691 Verify this NPI
Provider Name
EVERGREEN PHARMACY INC
Entity Type
Organization
Location Address
4110 S MARYLAND PKWY STE 17 LAS VEGAS, NV 89119
Location Phone
(702) 462-6262
Location Fax
(702) 462-5654
Mailing Address
4110 S MARYLAND PKWY STE 17 LAS VEGAS, NV 89119
Mailing Phone
(702) 462-6262
Mailing Fax
(702) 462-5654
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-31-2020
Last Update Date
01-31-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHEREEN HASSAN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(480) 519-4640

Reviews for EVERGREEN PHARMACY INC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033740691, enumerated as an "organization" on January 31, 2020.

The provider is located at 4110 S MARYLAND PKWY STE 17 LAS VEGAS, NV 89119 and the phone number is (702) 462-6262.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.