Evergreen Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

EVERGREEN PHARMACY INC

Practice address

490 McDonald Ave
Brooklyn, NY 11218-3812

Phone

(718) 483-8900

Fax

(718) 483-8901

NPI assigned

Jul 18, 2025

Organization subpart

No

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

Authorized official

Name

Mahmud Hasan

Title

Owner

Phone

(917) 916-9384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahmudul Hasan, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1649768383
  NPD (past)

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760832000000",
    "number": "1205728664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183812",
            "telephone_number": "718-483-8900",
            "fax_number": "718-483-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183812",
            "telephone_number": "718-483-8900",
            "fax_number": "718-483-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-10-19",
        "certification_date": "2025-10-19",
        "status": "A",
        "authorized_official_last_name": "HASAN",
        "authorized_official_first_name": "MAHMUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-916-9384"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Boro Park Comprehensive Medicine PLLC
• Evergreen DME, Inc.
• Evergreen Family Medical Services,P.C.
• Evergreen Gables Physical Therapy PC
• Evergreen Medical PLLC
• Evergreen Senior Daycare Center
• Evergreen Senior Daycare Center Inc
• Evergreen Surgical Supply Inc.
• Wendy Evers-Velazquez, LCSW
• Kerri Evers, DOULA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.