EVERGREEN PHARMACY & SUPPLIES LLC
NPI 1972076792
Pharmacy in Maite, GU

Active since January 03, 2019

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Evergreen Pharmacy & Supplies Llc NPPES

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

EVERGREEN PHARMACY & SUPPLIES LLC (NPI 1972076792) is a healthcare organization registered as a pharmacy in Maite, Guam and active in the NPI registry since January 2019. The organization lists Gary Roy, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1972076792
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameEVERGREEN PHARMACY & SUPPLIES LLC
Location Address520 ROUTE 8Maite, GU 96910
Mailing Address520 Route 8Maite, GU 96910
Organization SubpartNo
Authorized OfficialGary RoyPharmacy Manager · (671) 687-9175
Enumeration DateJanuary 3, 2019
NPI 1972076792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

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.

Clinic/Center (Primary Care)
520 ROUTE 8
MAITE, GU 96910
Home Health
520 ROUTE 8
MAITE, GU 96910
Dietitian, Registered
520 ROUTE 8
MAITE, GU 96910

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 & Supplies LLC's NPI number?

The NPI number for Evergreen Pharmacy & Supplies LLC is 1972076792. It was assigned to this organization in the NPPES registry on January 3, 2019.

Where is Evergreen Pharmacy & Supplies LLC located?

Evergreen Pharmacy & Supplies LLC is located at 520 Route 8, Maite, GU 96910. The listed phone number is (671) 477-5091.

What is Evergreen Pharmacy & Supplies LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Evergreen Pharmacy & Supplies LLC was last updated on January 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.