Evergreen Pharmacy Inc
NPI 1861852030 · 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 1861852030).
Provider details
- NPI number
- 1861852030
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Dang, President,pic, Ao(408) 391-0700
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Registry dates
- Enumerated
- 2016-03-02
- Last updated
- 2018-06-06
Frequently asked questions
- What is Evergreen Pharmacy Inc's NPI number?
- Evergreen Pharmacy Inc's National Provider Identifier (NPI) is 1861852030, 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 2365 Quimby Rd Ste 150, San Jose, CA 95122-1337.
- What is Evergreen Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Pharmacy Inc is (408) 531-9961.
- 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,pic, Ao. 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 (1861852030) is active in the NPPES registry as of the last update on 2018-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.