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NPI · 1487101754 · NPPES-sourced

Evergreen Pharmacy LLC

ActivePharmacy
NPI Number
1487101754
Type 2 · Organisation
Taxonomy Code
333600000X
Contact
(414) 533-6600
License WI · 9421-42
Last Updated
Enumerated
Primary practice addressWI · 53214-3953
10101 W Greenfield AveWest Allis, WI 53214-3953
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About this NPIWhat this record shows.

NPI 1487101754 is registered to Evergreen Pharmacy LLC, a healthcare organisation classified as "Pharmacy" and located at 10101 W Greenfield Ave in West Allis, Wisconsin. The organisation's authorised official is Richard Pearson. The organisation has been enumerated in the NPI registry since 2016.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 9421-42WI· Issued by STATE PHARMACY LICENSE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Evergreen Pharmacy LLC accepts. To confirm in-network status with your specific health plan, contact Evergreen Pharmacy LLC directly at (414) 533-6600.

Frequently asked

Yes. NPI 1487101754 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pharmacy is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (414) 533-6600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Evergreen Pharmacy LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy333600000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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