OrganizationActive
Evergreen Shop Pharmacy Inc
NPI 1083067995 · Community/Retail Pharmacy · Glendora, CA
Evergreen Shop Pharmacy Inc is a Community/Retail Pharmacy organization in Glendora, CA (NPI 1083067995).
Provider details
- NPI number
- 1083067995
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Manal Kest, Corparation Officer(310) 866-3415
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
150 S Grand Ave Ste K
Glendora, CA 91741-4715
Phone: (626) 335-2442
Fax: (626) 335-0220
Street-level locationGet directions
Mailing address
150 S Grand Ave Ste K
Glendora, CA 91741-4715
Other names (DBA / former)
- Doing business as
- Evergreen Shop Pharmacy
Registry dates
- Enumerated
- 2016-07-14
- Last updated
- 2016-08-10
Frequently asked questions
- What is Evergreen Shop Pharmacy Inc's NPI number?
- Evergreen Shop Pharmacy Inc's National Provider Identifier (NPI) is 1083067995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Shop Pharmacy Inc?
- Evergreen Shop Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Evergreen Shop Pharmacy Inc located?
- Evergreen Shop Pharmacy Inc's practice location on file with NPPES is 150 S Grand Ave Ste K, Glendora, CA 91741-4715.
- What is Evergreen Shop Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Shop Pharmacy Inc is (626) 335-2442.
- Who is the authorized official for Evergreen Shop Pharmacy Inc?
- The authorized official listed on Evergreen Shop Pharmacy Inc's NPPES record is Manal Kest, Corparation Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Shop Pharmacy Inc's NPI active?
- Yes — Evergreen Shop Pharmacy Inc's NPI (1083067995) is active in the NPPES registry as of the last update on 2016-08-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.