Evergreen Rx Inc
NPI 1346241700 · Community/Retail Pharmacy · Los Angeles, CA
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Rx Inc is a Community/Retail Pharmacy organization in Los Angeles, CA (NPI 1346241700).
Provider details
- NPI number
- 1346241700
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Yury Akopyan, Owner(310) 444-9011
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Medico Pharmacy
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2024-12-03
- Certified
- 2024-12-03
Frequently asked questions
- What is Evergreen Rx Inc's NPI number?
- Evergreen Rx Inc's National Provider Identifier (NPI) is 1346241700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Rx Inc?
- Evergreen Rx Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Evergreen Rx Inc located?
- Evergreen Rx Inc's practice location on file with NPPES is 11779 Santa Monica Blvd, Los Angeles, CA 90025-2843.
- What is Evergreen Rx Inc's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Rx Inc is (310) 444-9011.
- Does Evergreen Rx Inc accept Medicare?
- Evergreen Rx Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evergreen Rx Inc?
- The authorized official listed on Evergreen Rx Inc's NPPES record is Yury Akopyan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Rx Inc's NPI active?
- Yes — Evergreen Rx Inc's NPI (1346241700) is active in the NPPES registry as of the last update on 2024-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.