EAST ORANGE PHARMACY EVERGREEEN LLC (NPI# 1386270742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386270742 |
| Entity Type | Organization |
| Organization Name | EAST ORANGE PHARMACY EVERGREEEN LLC |
| Practice Address |
60 Evergreen Pl Ste 104 East Orange NJ 07018-2114 |
| Practice Telephone | 8624447188 |
| Practice Fax Number | 8624447183 |
| Mailing Telephone | 8624447188 |
| Mailing Fax Number | 8624447183 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | MR. TIM CHIU (PHARMACIST/OWNER) |
| Authorized Official Telephone | 8624447188 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | BOARD OF PHARMACY | 28RS00662900 | 01 |
| Street Address |
60 EVERGREEN PL STE 104 |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376195446 | Better Health Pharmacy LLC | Pharmacy | 460b Central Ave, East Orange, NJ 07018-2531 | 2019-07-09 |
| 1073015467 | 447 William St LLC | Pharmacy | 447 William St, East Orange, NJ 07017-2204 | 2018-03-01 |
| 1568853315 | Medcare Pharmacy Inc | Pharmacy | 41b N Clinton St, East Orange, NJ 07017-3517 | 2015-02-16 |
| 1255346888 | Professional Pharmacists Inc | Pharmacy | 265 Central Ave, East Orange, NJ 07018-3427 | 2006-07-30 |
| 1861442535 | Pharmacy of America | Pharmacy | 60 Evergreen Pl, East Orange, NJ 07018-2106 | 2006-05-11 |
| 1295344927 | Mikes Pharmacy LLC | Pharmacy | 358 Main St, East Orange, NJ 07018-3208 | 2020-07-29 |
| 1174093520 | Pharmacy 1 Inc | Pharmacy | 439 Central Ave, East Orange, NJ 07018-2526 | 2018-11-28 |
| 1699290338 | Walgreen Co | Pharmacy | 80 Central Ave, East Orange, NJ 07018-3939 | 2017-08-03 |
| 1518331040 | G & G Drugs LLC | Pharmacy | 575 Central Ave, East Orange, NJ 07018-1934 | 2015-11-20 |
| 1073759080 | Cnr Pharmacy Inc | Pharmacy | 60 Evergreen Pl, Suite 101, East Orange, NJ 07018-2106 | 2008-12-22 |
| Find all providers in EAST ORANGE | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
Please comment or provide details below to improve the information on EAST ORANGE PHARMACY EVERGREEEN LLC.
| 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.