EVERGREEN SHOP PHARMACY
NPI 1083067995
Pharmacy - Community/Retail Pharmacy in Glendora, CA

Q: What is Evergreen Shop Pharmacy Inc's NPI number?

The NPI number for Evergreen Shop Pharmacy Inc is 1083067995. It was assigned to this organization in the NPPES registry on July 14, 2016. The provider is doing business as Evergreen Shop Pharmacy.

Q: What is Evergreen Shop Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since July 14, 2016

150 S GRAND AVE STE K, GLENDORA, CA 91741(626) 335-2442(626) 335-0220 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2016, Jul 14, 2016 (2 updates tracked since 2016).

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About Evergreen Shop Pharmacy NPPES

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

EVERGREEN SHOP PHARMACY (NPI 1083067995) is a healthcare organization registered as a community/retail pharmacy in Glendora, California and active in the NPI registry since July 2016. The organization lists Manal Kest, Corparation Officer, as its authorized official.

NPPES Registry Identity

NPI1083067995

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameEVERGREEN SHOP PHARMACY INC

Location Address150 S GRAND AVE STE KGlendora, CA 91741-4715

Mailing Address150 S Grand Ave Ste KGlendora, CA 91741-4715 · (626) 335-2442 · Fax (626) 335-0220

Phone(626) 335-2442

Fax(626) 335-0220

Organization SubpartNo

Authorized OfficialManal KestCorparation Officer · (310) 866-3415

Enumeration DateJuly 14, 2016

Last NPPES UpdateAugust 10, 20162 updates tracked since enumeration

✔ NPI 1083067995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · 54456

Definition

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.

Also ListedPharmacyTaxonomy 333600000X

150 S GRAND AVE STE K, Glendora, CA 91741

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Other Names 1

Doing Business AsEvergreen Shop Pharmacy

Other Identifiers 1

Other2162500Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.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 Shop Pharmacy Inc's NPI number?

The NPI number for Evergreen Shop Pharmacy Inc is 1083067995. It was assigned to this organization in the NPPES registry on July 14, 2016. The provider is doing business as Evergreen Shop Pharmacy.

Where is Evergreen Shop Pharmacy Inc located?

Evergreen Shop Pharmacy Inc is located at 150 S Grand Ave Ste K, Glendora, CA 91741. The listed phone number is (626) 335-2442.

What is Evergreen Shop Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Evergreen Shop Pharmacy Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 37 other insurers list Evergreen Shop 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 Shop Pharmacy Inc was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.