Evienne LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EVIENNE LLC

Doing business as

Ebers Pharmacy

Practice address

1500 Pinecroft Rd Ste 213
Greensboro, NC 27407-3808

Phone

(336) 510-6635

Fax

(336) 510-6636

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Hassan Ahmed, RPH

Title

Pharmacist in Charge

Phone

(917) 833-6574

Specialties & licenses 1

Addresses

Other names 1

• Ebers Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1710755541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 PINECROFT RD STE 213",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PINECROFT RD STE 213",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073808",
            "telephone_number": "336-510-6635",
            "fax_number": "336-510-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIENNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "917-833-6574",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ebers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ebers Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.