Evergreen Pharmacy Inc
Community/Retail Pharmacy
2365 Quimby Rd Ste 150, San Jose
California, 95122-1337
408-531-9961 855-831-7973
Evergreen Pharmacy Inc is a Community/Retail Pharmacy in San Jose, California. It is located at 2365 Quimby Rd Ste 150, San Jose and it's customer support contact number is 408-531-9961. The authorized person of Evergreen Pharmacy Inc is Kevin Dang, RPH who is President,pic, Ao of the pharmacy and his contact number is 408-391-0700. Active license number of Evergreen Pharmacy Inc is PHY51198 for Community/Retail Pharmacy in California. Evergreen Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Evergreen Pharmacy Inc is 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.
Pharmacy Details:
Evergreen Pharmacy Inc 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 Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 2365 Quimby Rd Ste 150, San Jose,
California, 95122-1337 |
| Phone: | 408-531-9961 |
| Fax: | 855-831-7973 |
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: | Kevin Dang |
| Credentials: | RPH |
| Position: | President,pic, Ao |
| Contact Number: | 408-391-0700 |
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: | 1861852030 |
| NPI Enumeration Date: | 02 Mar, 2016 |
| NPI Last Update On: | 06 Jun, 2018 |
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 Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY51198 | California | Primary | |
| Pharmacy | | | Secondary | |
| Clinic Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2158376 | Other | | Pk |
Medicare Enrollment:
Evergreen Pharmacy Inc 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 |
| 0143426536 | O20170810001970 | Evergreen Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Evergreen Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Diabetic Shoes & Inserts: Custom Fabricated | • Diabetic Shoes & Inserts: Prefabricated |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Infusion Pumps & Supplies: Insulin Infusion |
| • Nebulizer Equipment & Supplies | • Surgical Dressings |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Evergreen Pharmacy, Po Box 731582
San Jose, California |
| Zip: | 95173-1582 |
| Phone Number: | 408-531-9961 |
| Fax Number: | 855-831-7973 |
Patients can reach Evergreen Pharmacy Inc at
2365 Quimby Rd Ste 150, San Jose, California or can
call on customer care at 408-531-9961.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.