MEDICO PHARMACY
NPI 1346241700
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Q: What is Evergreen Rx Inc's NPI number?

The NPI number for Evergreen Rx Inc is 1346241700. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Medico Pharmacy.

Q: What is Evergreen Rx Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Evergreen Rx Inc was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since August 09, 2005

11779 SANTA MONICA BLVD, LOS ANGELES, CA 90025(310) 444-9011(310) 444-0418 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2024, Jul 19, 2018, Apr 19, 2018 (3 updates tracked since 2018).

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About Medico Pharmacy NPPES

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

MEDICO PHARMACY (NPI 1346241700) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since August 2005. The organization lists Yury Akopyan, Owner, as its authorized official.

NPPES Registry Identity

NPI1346241700

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameEVERGREEN RX INC

Location Address11779 SANTA MONICA BLVDLos Angeles, CA 90025-2843

Mailing Address11779 Santa Monica BlvdLos Angeles, CA 90025-2843 · (310) 444-9011 · Fax (310) 444-0418

Phone(310) 444-9011

Fax(310) 444-0418

Organization SubpartNo

Authorized OfficialYury AkopyanOwner · (310) 444-9011

Enumeration DateAugust 9, 2005

Last NPPES UpdateDecember 3, 20243 updates tracked since enumeration

NPPES CertifiedDecember 3, 2024

✔ NPI 1346241700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY51906

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

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

11779 SANTA MONICA BLVD, Los Angeles, CA 90025

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Other Names 1

Doing Business AsMedico Pharmacy

Other Identifiers 2

Medicaid1346241700CA

Other2151974Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health 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 Rx Inc's NPI number?

The NPI number for Evergreen Rx Inc is 1346241700. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Medico Pharmacy.

Where is Evergreen Rx Inc located?

Evergreen Rx Inc is located at 11779 Santa Monica Blvd, Los Angeles, CA 90025. The listed phone number is (310) 444-9011.

What is Evergreen Rx 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 Rx Inc 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 48 other insurers list Evergreen Rx 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 Rx Inc was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.