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EVERGREEN HEALTH RX LLC
NPI 1417767765
Pharmacy in Newark, NJ

Active since January 09, 2025
165 FERRY ST, NEWARK, NJ 07105(973) 344-0394 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Health Rx Llc NPPES

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

EVERGREEN HEALTH RX LLC (NPI 1417767765), doing business as Ferry Pharmacy, is a healthcare organization registered as a pharmacy in Newark, New Jersey and active in the NPI registry since January 2025. The organization lists Sherry Bolos, Pic, as its authorized official.

NPPES Registry Identity

NPI1417767765
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameEVERGREEN HEALTH RX LLC
Location Address165 FERRY STNewark, NJ 07105-2179
Mailing Address165 Ferry StNewark, NJ 07105-2179 · (973) 344-0394
Phone(973) 344-0394
Organization SubpartNo
Authorized OfficialSherry BolosPic · (973) 344-0394
Enumeration DateJanuary 9, 2025
NPPES CertifiedJanuary 9, 2025
✔ NPI 1417767765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
165 FERRY ST, Newark, NJ 07105
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Other Names 1

Doing Business AsFerry Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.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.

FERRY PHARMACY
Pharmacy (Community/Retail Pharmacy)
165 FERRY ST
NEWARK, NJ 07105
Essex County (973) 344-0394
SHERRY BOLOS RPH
Pharmacist
165 FERRY ST
NEWARK, NJ 07105
Essex County (973) 344-0394

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 Health Rx LLC's NPI number?

The NPI number for Evergreen Health Rx LLC is 1417767765. It was assigned to this organization in the NPPES registry on January 9, 2025. The provider is doing business as Ferry Pharmacy.

Where is Evergreen Health Rx LLC located?

Evergreen Health Rx LLC is located at 165 Ferry St, Newark, NJ 07105. The listed phone number is (973) 344-0394.

What is Evergreen Health Rx LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

What insurance does Evergreen Health Rx LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Humana list Evergreen Health Rx 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 Health Rx LLC was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.