OrganizationActive
Evergreen Pharmaceutical LLC
NPI 1235240391 · Long Term Care Pharmacy · Portland, OR
Provider details
- NPI number
- 1235240391
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Colbert, Sr Director, Payer Relations(401) 770-2751
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
11933 Ne Glenn Widing Dr
Portland, OR 97220-9099
Phone: (503) 254-1647
Fax: (503) 262-8763
Street-level locationGet directions
Mailing address
1 Cvs Dr
Woonsocket, RI 02895-6146
Other names (DBA / former)
- Doing business as
- Omnicare of Portland #48329
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2024-07-17
- Certified
- 2024-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.