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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: August 09, 2026.

About Evergreen Pharmacy Inc NPPES

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

EVERGREEN PHARMACY INC (NPI 1033740691), doing business as Evergreen Pharmacy, is a healthcare organization registered as a pharmacy in Las Vegas, Nevada and active in the NPI registry since January 2020. The organization lists Shereen Hassan, Director, as its authorized official.

NPPES Registry Identity

NPI1033740691
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameEVERGREEN PHARMACY INC
Location Address4110 S MARYLAND PKWY STE 17Las Vegas, NV 89119-7505
Mailing Address4110 S Maryland Pkwy Ste 17Las Vegas, NV 89119-7505 · (702) 462-6262 · Fax (702) 462-5654
Phone(702) 462-6262
Fax(702) 462-5654
Organization SubpartNo
Authorized OfficialShereen HassanDirector · (480) 519-4640
Enumeration DateJanuary 31, 2020
✔ NPI 1033740691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
Definition
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.
4110 S MARYLAND PKWY STE 17, Las Vegas, NV 89119
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Other Names 1

Doing Business AsEvergreen Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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 Pharmacy Inc's NPI number?

The NPI number for Evergreen Pharmacy Inc is 1033740691. It was assigned to this organization in the NPPES registry on January 31, 2020. The provider is doing business as Evergreen Pharmacy.

Where is Evergreen Pharmacy Inc located?

Evergreen Pharmacy Inc is located at 4110 S Maryland Pkwy Ste 17, Las Vegas, NV 89119. The listed phone number is (702) 462-6262.

What is Evergreen Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Evergreen Pharmacy Inc accept?

Health plans from Moda Health Plan, Inc. list Evergreen Pharmacy Inc 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 Pharmacy Inc was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.