OMNICARE OF NORTHERN CALIFORNIA
NPI 1356429369
Pharmacy - Long Term Care Pharmacy in Lodi, CA

Active since November 01, 2006
850 S GUILD AVE, LODI, CA 95240(209) 333-4900(209) 333-3601 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2021, Mar 1, 2019, Nov 12, 2015 (3 updates tracked since 2015).

About Omnicare Of Northern California NPPES

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

OMNICARE OF NORTHERN CALIFORNIA (NPI 1356429369) is a healthcare organization registered as a long term care pharmacy in Lodi, California and active in the NPI registry since November 2006. The organization lists Susan Colbert, Sr Director, Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1356429369
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameEVERGREEN PHARMACEUTICAL OF CALIFORNIA, LLC
Location Address850 S GUILD AVELodi, CA 95240-3170
Mailing Address1 Cvs Dr, Box 1075Woonsocket, RI 02895-6146 · (401) 765-1500
Fax(209) 333-3601
Organization SubpartNo
Authorized OfficialSusan ColbertSr Director, Payer Relations · (401) 770-2751
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 4, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2021
NPI 1356429369 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.

850 S GUILD AVE, Lodi, CA 95240

Other Names 2

Doing Business AsOmnicare Of Northern California
Doing Business AsOmnicare Of Northern California #48214

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Omnicare Of Northern California carries, from the Medicare DMEPOS supplier directory.

Omnicare Of Northern California

DMEPOS supplier · Lodi, CAOperated by Evergreen Pharmaceutical Of California, LLC

Accepts Medicare assignment

Omnicare Of Northern California 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)20552057
Medicare Participant SinceMay 10, 2009
Supplier Location850 S Guild AveLodi, CA 95240
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
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
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Blood Glucose Monitors/Supplies (Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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
850 S GUILD AVE
LODI, CA 95240
Pharmacist
850 S GUILD AVE
LODI, CA 95240
Pharmacist
850 S GUILD AVE
LODI, CA 95240

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 Of California, LLC's NPI number?

The NPI number for Evergreen Pharmaceutical Of California, LLC is 1356429369. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Evergreen Pharmaceutical Of California, LLC located?

Evergreen Pharmaceutical Of California, LLC is located at 850 S Guild Ave, Lodi, CA 95240. The listed phone number is (209) 333-4900.

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

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

What insurance does Evergreen Pharmaceutical Of California, 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 47 other insurers list Evergreen Pharmaceutical Of California, 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 Of California, LLC was last updated on January 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.