Evergreen RX Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

EVERGREEN RX PHARMACY INC

Doing business as

Evergreen RX Pharmacy

Practice address

40963 Winchester Rd
Temecula, CA 92591-6031

Phone

(951) 878-9074

Fax

(951) 848-0788

NPI assigned

Jul 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Yvonne T. Tongoc, PHARM D

Title

Secretary/Pic

Phone

(951) 878-9074

Specialties & licenses 1

Addresses

Other names 1

• EVERGREEN RX PHARMACY Doing business as

Locations

Practitioners 1

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

• Lam Tien Trinh, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Temecula, CA
  • NPI 1427308345
  NPD

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1821406711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40963 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916031",
            "telephone_number": "951-878-9074",
            "fax_number": "951-848-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40963 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916031",
            "telephone_number": "951-878-9074",
            "fax_number": "951-848-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN RX PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "TONGOC",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "SECRETARY/PIC",
        "authorized_official_telephone_number": "951-878-9074",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EVERGREEN RX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Isabelle Estrada, RBT
• Marcus Stewart Ettinger, D.C.
• Valarie Etukudo
• Karen H Eubank, LCSW
• Sarajean Corinne Evans, FNP-C
• Evita Health Care Inc.
• Ifeoma Ezeife
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• F Davis Perry DDS Inc (Rancho Dental)
• Faculty Physicians and Surgeons of Llusm

• Community/Retail Pharmacy in Temecula, CA
• Providers in Temecula, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.