OMNICARE OF PORTLAND #48329
NPI 1235240391
Pharmacy - Long Term Care Pharmacy in Portland, OR

Active since August 31, 2006
11933 NE GLENN WIDING DR, PORTLAND, OR 97220(503) 254-1647(503) 262-8763 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2024, Mar 1, 2019, Nov 16, 2015 (3 updates tracked since 2015).

About Omnicare Of Portland #48329 NPPES

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

OMNICARE OF PORTLAND #48329 (NPI 1235240391) is a healthcare organization registered as a long term care pharmacy in Portland, Oregon 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

NPI1235240391
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameEVERGREEN PHARMACEUTICAL LLC
Location Address11933 NE GLENN WIDING DRPortland, OR 97220-9099
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Fax(503) 262-8763
Organization SubpartNo
Authorized OfficialSusan ColbertSr Director, Payer Relations · (401) 770-2751
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1235240391 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.

11933 NE GLENN WIDING DR, Portland, OR 97220

Other Names 1

Doing Business AsOmnicare Of Portland #48329

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 10

Medicare supplier enrollment and the product categories Omnicare Of Portland #48329 carries, from the Medicare DMEPOS supplier directory.

Omnicare Of Portland #48329

DMEPOS supplier · Portland, OROperated by Evergreen Pharmaceutical LLC

Accepts Medicare assignment

Omnicare Of Portland #48329 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)20635397
Medicare Participant SinceJanuary 1, 1999
Supplier Location11933 NE Glenn Widing DrPortland, OR 97220
Supplier Specialties
Certified Other 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.

Other Providers at the Same Location NPPES 3

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

Pharmacist (Geriatric)
11933 NE GLENN WIDING DR
PORTLAND, OR 97220
Pharmacist
11933 NE GLENN WIDING DR
PORTLAND, OR 97220
Pharmacist
11933 NE GLENN WIDING DR
PORTLAND, OR 97220

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 LLC's NPI number?

The NPI number for Evergreen Pharmaceutical LLC is 1235240391. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Omnicare Of Portland #48329.

Where is Evergreen Pharmaceutical LLC located?

Evergreen Pharmaceutical LLC is located at 11933 NE Glenn Widing Dr, Portland, OR 97220. The listed phone number is (503) 254-1647.

What is Evergreen Pharmaceutical 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 LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Omnicare Of Portland #48329 accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Evergreen Pharmaceutical 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 49 other insurers list Evergreen Pharmaceutical 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 LLC was last updated on July 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.