Evergreen Pharmaceutical of California, LLC
NPI 1356429369 · Long Term Care Pharmacy · Lodi, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Pharmaceutical of California, LLC is a Long Term Care Pharmacy organization in Lodi, CA (NPI 1356429369).
Provider details
- NPI number
- 1356429369
- 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
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
Mailing address
Other names (DBA / former)
- Doing business as
- Omnicare of Northern California
- Doing business as
- Omnicare of Northern California #48214
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2021-01-04
- Certified
- 2021-01-04
Frequently asked questions
- What is Evergreen Pharmaceutical of California, LLC's NPI number?
- Evergreen Pharmaceutical of California, LLC's National Provider Identifier (NPI) is 1356429369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Pharmaceutical of California, LLC?
- Evergreen Pharmaceutical of California, LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Evergreen Pharmaceutical of California, LLC located?
- Evergreen Pharmaceutical of California, LLC's practice location on file with NPPES is 850 S Guild Ave, Lodi, CA 95240-3170.
- What is Evergreen Pharmaceutical of California, LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Pharmaceutical of California, LLC is (209) 333-4900.
- Does Evergreen Pharmaceutical of California, LLC accept Medicare?
- Evergreen Pharmaceutical of California, LLC 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 Pharmaceutical of California, LLC?
- The authorized official listed on Evergreen Pharmaceutical of California, LLC's NPPES record is Susan Colbert, Sr Director, Payer Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Pharmaceutical of California, LLC's NPI active?
- Yes — Evergreen Pharmaceutical of California, LLC's NPI (1356429369) is active in the NPPES registry as of the last update on 2021-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.