Evergreen Pharmacy Group, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

029859 Issued in NY

Legal business name

EVERGREEN PHARMACY GROUP, INC.

Practice address

1037 Main St
Peekskill, NY 10566-2913

Phone

(914) 734-8750

Fax

(914) 734-8708

NPI assigned

Nov 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jalal Hyder Jafri

Title

President

Phone

(203) 940-0507

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259280000000",
    "number": "1144558339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "914-734-8750",
            "fax_number": "914-734-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 MAIN ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662913",
            "telephone_number": "914-734-8750",
            "fax_number": "914-734-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PHARMACY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-27",
        "last_updated": "2009-11-27",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "JALAL",
        "authorized_official_middle_name": "HYDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-940-0507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "029859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.