EVERGREEN PHARMACY
NPI 1427205574
Pharmacy - Community/Retail Pharmacy in Evergreen Park, IL

NPI Status: Active since August 20, 2008

Contact Information

2850 W 95TH ST
STE 100
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 423-4700
Fax: (708) 423-4720

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance

About EVERGREEN PHARMACY

This page provides the complete NPI Profile along with additional information for Evergreen Pharmacy, a provider established in Evergreen Park, Illinois operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1427205574 assigned on August 2008. The practitioner's primary taxonomy code is 3336C0003X with license number 054016406 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Evergreen Pharmacy. The authorized official of this NPI record is Hani Abdallah (Pharmacy Manager)

NPI
1427205574
Provider Legal Name
EVERGREEN PARK PHARMACY INC
Other Organization Name
EVERGREEN PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2850 W 95TH ST STE 100 EVERGREEN PARK, IL 60805
Location Phone
(708) 423-4700
Location Fax
(708) 423-4720
Mailing Address
2850 W 95TH ST STE 100 EVERGREEN PARK, IL 60805
Mailing Phone
(708) 423-4700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-20-2008
Last Update Date
12-01-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
054016406
License State
IL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Humana Dental Smart Choice - PPO
  • Humana Dental Smart Choice - High - PPO
  • Humana Dental Smart Choice - Lite - PPO
  • Humana Dental Smart Choice - Low - PPO
  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HANI ABDALLAH

Authorized Official Title
PHARMACY MANAGER
Authorized Official Phone
(708) 423-4700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2116967OTHER (01)PK

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscv2 30mcg trs-sucr 1

This is a procedure for administering the SARS-CoV-2 vaccine. The "30mcg" refers to the dosage of the vaccine, and "trs-sucr" is a component in the vaccine. The vaccine helps your body develop immunity to the COVID-19 virus to prevent illness.

This service was performed 21 times for 21 patients

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 11 times for 11 patients

Fee covid-19 vac 13 res

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

This service was performed 15 times for 15 patients

Fee covid-19 vac 14 res

The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.

This service was performed 31 times for 31 patients

Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; first dose

This is a COVID-19 vaccine injection, given into a muscle. It's the first dose of a two-dose series. The vaccine, made from mRNA technology, targets the virus's spike protein. It's free of preservatives and each dose contains 100 mcg in a 0.5ml solution.

This service was performed 20 times for 20 patients

Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 100 mcg/0.5ml dosage; second dose

This is your second dose of the COVID-19 vaccine, which is given via a shot into your muscle. The vaccine contains a tiny piece of the coronavirus's spike protein, which helps your body recognize and fight the virus. It's preservative-free and contains 100 mcg in a 0.5ml dose.

This service was performed 13 times for 13 patients

Reviews for EVERGREEN PHARMACY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1427205574, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
2
Doubled → 4
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 4 + 7 + 4 + 0 + 1 + 0 + 5 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1427205574.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
2850 W 95TH ST, SUITE 401
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Family Medicine
2850 W 95TH ST, #304
EVERGREEN PARK, IL 60805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2850 W 95TH ST, SUITE 11
EVERGREEN PARK, IL 60805
Urology
2850 W 95TH ST, SUITE 302
EVERGREEN PARK, IL 60805
Internal Medicine (Hematology & Oncology)
2850 W 95TH ST, 203
EVERGREEN PARK, IL 60805
Physician Assistant (Surgical)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, SUITE 106
EVERGREEN PARK, IL 60805
Internal Medicine (Rheumatology)
2850 W 95TH ST, SUITE 200
EVERGREEN PARK, IL 60805
Psychiatry & Neurology (Psychiatry)
2850 W 95TH ST, SUITE 206
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 300
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 102
EVERGREEN PARK, IL 60805
Ophthalmology
2850 W 95TH ST, SUITE 401
EVERGREEN PARK, IL 60805
Internal Medicine (Rheumatology)
2850 W 95TH ST, SUITE 200
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 306
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Nurse Practitioner (Gerontology)
2850 W 95TH ST, SUITE 106
EVERGREEN PARK, IL 60805
Ophthalmology
2850 W 95TH ST, SUITE 12
EVERGREEN PARK, IL 60805
Clinic/Center (Medical Specialty)
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Internal Medicine (Cardiovascular Disease)
2850 W 95TH ST, SUITE 305
EVERGREEN PARK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427205574, enumerated as an "organization" on August 20, 2008.

The provider is located at 2850 W 95TH ST STE 100 EVERGREEN PARK, IL 60805 and the phone number is (708) 423-4700.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Humana, Medica, Moda Health Plan, Inc., Medicare. Please consult your insurance carrier or call the provider to verify.