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EVERGREEN PHARMACY
NPI 1083122949
Pharmacy in Palisades Park, NJ

Active since January 12, 2018
7 BROAD AVE STE 105, PALISADES PARK, NJ 07650(201) 941-1111(201) 941-1124 Get Directions Write a Review

NPPES record last updated: July 19, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2018, Jun 11, 2018, Apr 27, 2018 and 1 more (4 updates tracked since 2018).

About Evergreen Pharmacy NPPES

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

EVERGREEN PHARMACY (NPI 1083122949) is a healthcare organization registered as a pharmacy in Palisades Park, New Jersey and active in the NPI registry since January 2018. The organization lists Yongsun Cho, Manager, as its authorized official.

NPPES Registry Identity

NPI1083122949
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameEVERGREEN PHARMACY, INC
Location Address7 BROAD AVE STE 105Palisades Park, NJ 07650-1886
Mailing Address7 Broad Ave Ste 105Palisades Park, NJ 07650-1886 · (201) 941-1111 · Fax (201) 941-1124
Phone(201) 941-1111
Fax(201) 941-1124
Organization SubpartNo
Authorized OfficialYongsun ChoManager · (201) 941-1111
Enumeration DateJanuary 12, 2018
Last NPPES UpdateJuly 19, 20184 updates tracked since enumeration
✔ NPI 1083122949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in NJ · 28RS00761800
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.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
7 BROAD AVE STE 105, Palisades Park, NJ 07650
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Other Names 1

Doing Business AsEvergreen Pharmacy

Other Identifiers 2

Other2176951Pk
Medicaid0619353NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYOUNG KIM
Pharmacist
7 BROAD AVE STE 105
PALISADES PARK, NJ 07650
Bergen County (201) 941-1111
PINE PLAZA PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
7 BROAD AVE STE 105
PALISADES PARK, NJ 07650
Bergen County (201) 604-3642

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 1083122949. It was assigned to this organization in the NPPES registry on January 12, 2018. The provider is doing business as Evergreen Pharmacy.

Where is Evergreen Pharmacy, Inc located?

Evergreen Pharmacy, Inc is located at 7 Broad Ave Ste 105, Palisades Park, NJ 07650. The listed phone number is (201) 941-1111.

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 Medica 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 July 19, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.