OrganizationActive
Evergreen Pharmacy LLC
NPI 1487101754 · Pharmacy · West Allis, WI
Provider details
- NPI number
- 1487101754
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Richard Pearson, Ceo(414) 727-5750
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Specialty Pharmacy3336S0011X
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
10101 W Greenfield Ave
West Allis, WI 53214-3953
Phone: (414) 533-6600
Fax: (414) 533-6601
Street-level locationGet directions
Mailing address
10101 W Greenfield Ave
West Allis, WI 53214-3953
Registry dates
- Enumerated
- 2016-09-05
- Last updated
- 2023-03-07
- Certified
- 2020-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.