EVERGREEN PHARMACY
NPI 1396933545
Pharmacy - Community/Retail Pharmacy in San Jose, CA

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

The NPI number for Evergreen Pharmacy Inc is 1396933545. It was assigned to this organization in the NPPES registry on October 11, 2007. The provider is doing business as Evergreen Pharmacy.

Q: What is Evergreen Pharmacy Inc's specialty?

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

Active since October 11, 2007

2690 S WHITE RD, STE 200A, SAN JOSE, CA 95148(408) 270-0670(855) 274-7399 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Evergreen Pharmacy NPPES

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

EVERGREEN PHARMACY (NPI 1396933545) is a healthcare organization registered as a community/retail pharmacy in San Jose, California and active in the NPI registry since October 2007. The organization lists Kevin Dang, President, as its authorized official.

NPPES Registry Identity

NPI1396933545

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameEVERGREEN PHARMACY INC

Location Address2690 S WHITE RD, STE 200ASan Jose, CA 95148-2076

Mailing AddressPo Box 731556San Jose, CA 95173-1556

Phone(408) 270-0670

Fax(855) 274-7399

Organization SubpartNo

Authorized OfficialKevin DangPresident · (408) 270-0670

Enumeration DateOctober 11, 2007

Last NPPES UpdateFebruary 28, 2017

✔ NPI 1396933545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · 48826

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.

2690 S WHITE RD, San Jose, CA 95148

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Other Names 1

Doing Business AsEvergreen Pharmacy

Other Identifiers 3

Medicaid1396933545CA

Medicare NSC6052740001

Other2112962Pk

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 ›

Medical Equipment Supplier Medicare DMEPOS 20

Medicare supplier enrollment and the product categories Evergreen Pharmacy carries, from the Medicare DMEPOS supplier directory.

Evergreen Pharmacy

DMEPOS supplier · San Jose, CAOperated by Evergreen Pharmacy Inc

✔

Accepts Medicare assignment

Evergreen Pharmacy 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)20560421

Medicare Participant SinceJanuary 1, 2008

Supplier Location2690 S White Rd Ste 200ASan Jose, CA 95148

Phone(408) 270-0670

Supplier Specialties

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 16

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

DR. KEVIN DANG PHARM.D

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2690 S WHITE RD, SUITE 200-A
SAN JOSE, CA 95148

Santa Clara County (408) 270-0670

FREEDOM CHOICE HEALTHCARE INC

Clinic/Center (Primary Care)

2690 S WHITE RD, SUITE 95
SAN JOSE, CA 95148

Santa Clara County (408) 223-8080

DR. SHASHWATI SHARAD KALE M.D.

Family Medicine

2690 S WHITE RD, SUITE #200
SAN JOSE, CA 95148

Santa Clara County (408) 223-8228

TERESITA LAYUG DIZON D.M.D.

Dentist (General Practice)

2690 S WHITE RD, SUITE 90
SAN JOSE, CA 95148

Santa Clara County (408) 223-7414

EVERGREEN HILLS MEDICAL GROUP

Clinic/Center (Medical Specialty)

2690 S WHITE RD, SUITE 200
SAN JOSE, CA 95148

Santa Clara County (408) 223-7771

DR. MARILYN TIN WONG MD

Internal Medicine

2690 S WHITE RD, 200
SAN JOSE, CA 95148

Santa Clara County (408) 223-8118

MEDICAL OFFICES OF SHASHWATI.S.KALE

Family Medicine

2690 S WHITE RD, SUITE200,
SAN JOSE, CA 95148

Santa Clara County (408) 223-8228

NHON D LAM CHIROPRACTIC CORPORATION

Chiropractor

2690 S WHITE RD, SUITE 40
SAN JOSE, CA 95148

Santa Clara County (408) 532-1130

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 1396933545. It was assigned to this organization in the NPPES registry on October 11, 2007. The provider is doing business as Evergreen Pharmacy.

Where is Evergreen Pharmacy Inc located?

Evergreen Pharmacy Inc is located at 2690 S White Rd Ste 200A, San Jose, CA 95148. The listed phone number is (408) 270-0670.

What is Evergreen Pharmacy Inc's specialty?

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

Does Evergreen Pharmacy Inc accept Medicare assignment for medical equipment?

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

What insurance does Evergreen Pharmacy 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 46 other insurers 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 February 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.