Evergreen Pharmaceutical Llc
Long Term Care Pharmacy
11933 Ne Glenn Widing Dr, Portland
Oregon, 97220-9099
503-254-1647 503-262-8763
Evergreen Pharmaceutical Llc is a Long Term Care Pharmacy in Portland, Oregon. It is located at 11933 Ne Glenn Widing Dr, Portland and it's customer support contact number is 503-254-1647. The authorized person of Evergreen Pharmaceutical Llc is Susan Colbert who is Sr Director, Payer Relations of the pharmacy and his contact number is 401-770-2751. Evergreen Pharmaceutical Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Evergreen Pharmaceutical Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Evergreen Pharmaceutical Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Evergreen Pharmaceutical Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 11933 Ne Glenn Widing Dr, Portland,
Oregon, 97220-9099 |
| Phone: | 503-254-1647 |
| Fax: | 503-262-8763 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Susan Colbert |
| Position: | Sr Director, Payer Relations |
| Contact Number: | 401-770-2751 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1235240391 |
| NPI Enumeration Date: | 31 Aug, 2006 |
| NPI Last Update On: | 17 Jul, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Evergreen Pharmaceutical Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
Medicare Enrollment:
Evergreen Pharmaceutical Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 5193843928 | O20100930089709 | Evergreen Pharmaceutical Llc | DME SUPPLIER - PHARMACY |
Products Available:
Evergreen Pharmaceutical Llc has following products available for sale under medicare.
| Products: |
|---|
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Cpap, Rads, & Related Supplies & Accessories | • Diabetic Shoes & Inserts: Prefabricated |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Ostomy Supplies |
| • Parenteral Equipment And/or Supplies | • Parenteral Nutrients |
| • Surgical Dressings | • Urological Supplies |
| • Walkers | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1 Cvs Dr, Box 1075
Woonsocket, Rhode Island |
| Zip: | 02895-6146 |
| Phone Number: | 401-765-1500 |
Patients can reach Evergreen Pharmaceutical Llc at
11933 Ne Glenn Widing Dr, Portland, Oregon or can
call on customer care at 503-254-1647.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.