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EVERGREEN PHARMACY INC
NPI 1861852030
Pharmacy - Community/Retail Pharmacy in San Jose, CA

Active since March 02, 2016
2365 QUIMBY RD STE 150, SAN JOSE, CA 95122(408) 531-9961(855) 831-7973 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2017, Jun 16, 2016, Mar 2, 2016 (3 updates tracked since 2016).

About Evergreen Pharmacy Inc NPPES

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

EVERGREEN PHARMACY INC (NPI 1861852030) is a healthcare organization registered as a community/retail pharmacy in San Jose, California and active in the NPI registry since March 2016. The organization lists Kevin Dang, President,pic, Ao, as its authorized official.

NPPES Registry Identity

NPI1861852030
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameEVERGREEN PHARMACY INC
Location Address2365 QUIMBY RD STE 150San Jose, CA 95122-1337
Mailing AddressEvergreen Pharmacy, Po Box 731582San Jose, CA 95173-1582 · (408) 531-9961 · Fax (855) 831-7973
Phone(408) 531-9961
Fax(855) 831-7973
Organization SubpartNo
Authorized OfficialKevin DangPresident,pic, Ao · (408) 391-0700
Enumeration DateMarch 2, 2016
Last NPPES UpdateJune 6, 20183 updates tracked since enumeration
✔ NPI 1861852030 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 · PHY51198
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 · Clinic PharmacyTaxonomy 3336C0002X
2365 QUIMBY RD STE 150, San Jose, CA 95122
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Other Identifiers 1

Other2158376Pk

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 Pharmacy Inc's NPI number?

The NPI number for Evergreen Pharmacy Inc is 1861852030. It was assigned to this organization in the NPPES registry on March 2, 2016.

Where is Evergreen Pharmacy Inc located?

Evergreen Pharmacy Inc is located at 2365 Quimby Rd Ste 150, San Jose, CA 95122. The listed phone number is (408) 531-9961.

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.

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 47 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 June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.