Evergreen Functional Medicine LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

EVERGREEN FUNCTIONAL MEDICINE LLC

Practice address

607 W Willapa Ave
Spokane, WA 99224-5337

Phone

(509) 720-6314

NPI assigned

Nov 12, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Jane Cox

Title

Administrator/Access Manager

Phone

(949) 664-2796

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Paul A Milani, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Spokane, WA
  • NPI 1003162843
  NPD

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1760206197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W WILLAPA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245337",
            "telephone_number": "509-720-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W WILLAPA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992245337",
            "telephone_number": "509-720-6314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1303 W Summit Pkwy Lowr Level1",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992017033",
            "country_code": "US",
            "telephone_number": "509-720-6314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVERGREEN FUNCTIONAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR/ACCESS MANAGER",
        "authorized_official_telephone_number": "949-664-2796",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Nutrition Support",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Jeanette Eveland, MSW, LICSW, CMHS
• John P Everett, MD
• Maria Alene Everett, ARNP
• Everfit Inc
• Evergreen Care Network LLC
• Evergreen Hematology and Oncology PS
• Evergreen Naturopathic
• Evergreen Naturopathic, Inc
• Evergreen Pharmaceutical, LLC
• Evergreen Transport

• Pharmacist in Spokane, WA
• Providers in Spokane, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.