Evergreen Pharmacy Inc
NPI 1396933545 · Community/Retail Pharmacy · San Jose, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Pharmacy Inc is a Community/Retail Pharmacy organization in San Jose, CA (NPI 1396933545).
Provider details
- NPI number
- 1396933545
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Dang, President(408) 270-0670
- License
- 48826 (CA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- Evergreen Pharmacy
Registry dates
- Enumerated
- 2007-10-11
- Last updated
- 2017-02-28
Frequently asked questions
- What is Evergreen Pharmacy Inc's NPI number?
- Evergreen Pharmacy Inc's National Provider Identifier (NPI) is 1396933545, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Pharmacy Inc?
- Evergreen Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Evergreen Pharmacy Inc located?
- Evergreen Pharmacy Inc's practice location on file with NPPES is 2690 S White Rd, San Jose, CA 95148-2076.
- What is Evergreen Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Pharmacy Inc is (408) 270-0670.
- Does Evergreen Pharmacy Inc accept Medicare?
- Evergreen Pharmacy 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 Pharmacy Inc?
- The authorized official listed on Evergreen Pharmacy Inc's NPPES record is Kevin Dang, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Pharmacy Inc's NPI active?
- Yes — Evergreen Pharmacy Inc's NPI (1396933545) is active in the NPPES registry as of the last update on 2017-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.