EVERGREEN PHARMACY (NPI# 1215092671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215092671 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PHARMACY |
| Practice Address |
118 E Red Bank Ave Woodbury NJ 08096-3559 |
| Practice Telephone | 8568486446 |
| Mailing Telephone | 8568486446 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MR. STEVEN ISAACSON (PHARMACIST) |
| Authorized Official Telephone | 8568486446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4244303 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | EVERGREEN PHARMACY GROUP, INC. | 9 Walmsley Road, Darien, Ct 06820 |
| Washington State Corporations | EVERGREEN PHARMACY, INC. | 915 W 11th St, Vancouver, WA 98660 |
| Street Address |
118 E RED BANK AVE |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033203435 | Snyders Bros Inc | Pharmacy | 1750 Weir Dr, Woodbury, MN 55125-2252 | 2006-10-03 |
| 1841305984 | Supervalu Pharmacies Inc | Pharmacy | 8432 Tamarack Vlg, Woodbury, MN 55125-3383 | 2006-08-20 |
| 1528085925 | Walmart Inc. | Pharmacy | 10240 Hudson Rd, Woodbury, MN 55129-9111 | 2006-07-16 |
| 1811964190 | Woodson's Pharmacy, Inc. | Pharmacy | 304 W Main St, Woodbury, TN 37190-1125 | 2006-03-04 |
| 1437677796 | Woodbury Drug Center LLC | Pharmacy | 604 W Main St, Woodbury, TN 37190-1029 | 2017-09-06 |
| 1316267958 | N H Raahil LLC | Pharmacy | 160 N Broad St, Woodbury, NJ 08096-1720 | 2010-06-06 |
| 1609921253 | Cottage Pharmacy & Surgical Inc | Pharmacy | 8285 Jericho Tpke, Woodbury, NY 11797-1807 | 2007-01-24 |
| 1942305800 | Upr Care Corp | Pharmacy | 378 Syosset Woodbury Rd, Woodbury, NY 11797-1200 | 2006-09-14 |
| 1073545000 | Freds Stores of Tennessee Inc | Pharmacy | 1130 S Mccrary St, Woodbury, TN 37190-5997 | 2006-07-07 |
| 1104880384 | Allina Health System | Pharmacy | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2006-04-14 |
| Find all providers in WOODBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.