Evergreen Pharmacy, INC
Pharmacy in Palisades Park, New Jersey
1083122949- Practice location
- 7 Broad Ave Ste 105, Palisades Park, NJ 07650-1886
- Phone
- 201-941-1111
- Fax
- 201-941-1124
- Last updated
- July 19, 2018
Evergreen Pharmacy, INC is a healthcare organization based in Palisades Park, NJ. Evergreen Pharmacy, INC practices in Palisades Park, NJ. The NPI Number for Evergreen Pharmacy, INC is 1083122949 and holds a License No. 28rs00761800 (NJ). The current practice location address for Evergreen Pharmacy, INC is 7 Broad Ave Ste 105, Palisades Park, NJ 07650-1886 and can be reached out via phone at 201-941-1111 and via fax at 201-941-1124.
Provider Profile Details
- NPI Number
- 1083122949
- Provider Name
- Evergreen Pharmacy, INC
- Provider Entity Type
- Organization
- Address
- 7 Broad Ave Ste 105, Palisades Park, NJ 07650-1886
- Phone Number
- 201-941-1111
- Fax Number
- 201-941-1124
- Primary Taxonomy
- Pharmacy · 333600000X
- Organization Subpart
- No
- Authorized Official
- Yongsun Cho · Manager · 201-941-1111
- Other Names
- Evergreen Pharmacy (Doing Business As)
- Provider Enumeration Date
- January 12, 2018
- Last Update Date
- July 19, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7 Broad Ave Ste 105
Palisades Park, NJ 07650-1886 - City
- Palisades Park
- State
- New Jersey
- Zip
- 07650-1886
- Phone Number
- 201-941-1111
- Fax Number
- 201-941-1124
Provider Business Mailing Address Details
- Address
- 7 Broad Ave Ste 105
Palisades Park, NJ 07650-1886 - City
- Palisades Park
- State
- NJ
- Zip
- 07650-1886
- Phone Number
- 201-941-1111
- Fax Number
- 201-941-1124
License Information
- Taxonomy (1)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- License Number (2)
- 28rs00761800
- License State (2)
- NJ
- Taxonomy (2)
- Pharmacy · 333600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy providers near Palisades Park, NJ
View all Pharmacy providers in Palisades Park →Frequently Asked Questions
What is the NPI number of Evergreen Pharmacy, INC?
The NPI number of Evergreen Pharmacy, INC is 1083122949. It was assigned on January 12, 2018 and is currently active in the NPPES registry.
What is the specialty of Evergreen Pharmacy, INC?
Evergreen Pharmacy, INC is registered under the primary taxonomy Pharmacy (code 333600000X), licensed in NJ under license number 28rs00761800.
Where does Evergreen Pharmacy, INC practice?
The practice location is 7 Broad Ave Ste 105, Palisades Park, NJ 07650-1886. The office can be reached at 201-941-1111 (phone) or 201-941-1124 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083122949 directly on the NPPES registry website.