Evergreen Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26138 Issued in FL

Legal business name

EVERGREEN PHARMACY INC

Practice address

875 E 10TH Ave
Hialeah, FL 33010-4645

Phone

(786) 360-4945

Fax

(786) 360-4955

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Augustine Oranusi

Title

Owned/Pharmacist

Phone

(954) 478-2950

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• EVERGREEN PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1740549500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 E 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "786-360-4945",
            "fax_number": "786-360-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E 10TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104645",
            "telephone_number": "786-360-4945",
            "fax_number": "786-360-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "ORANUSI",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "OWNED/PHARMACIST",
        "authorized_official_telephone_number": "954-478-2950"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26138",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008565300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eugenio Moises Guevara MD PA
• Euro Pharma Inc
• Evelyn Delgado
• Evelyn Diagnostic & Medical Group Inc
• Evelyn Medical Center Inc
• Claudia Evers, DPT
• Everybody'S Pharmacy & Discount Inc
• Everyday Sunshine Adult Daycare
• Victor Raul Evins, M.ED.
• Evolution Home Health Services Corp

• Community/Retail Pharmacy in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.