Provider Type Icon

EVERGREEN PHARMACEUTICAL LLC NPI 1235240391


NPI Information

NPI: 1235240391
Provider Name: EVERGREEN PHARMACEUTICAL, LLC

Doing Business As: OMNICARE OF PORTLAND #48329

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
11933 NE GLENN WIDING DR
PORTLAND, OR
ZIP 97220
Phone: (503) 254-1647
Get Directions

EVERGREEN PHARMACEUTICAL, LLC is a long term care pharmacy pharmacy in Portland, OR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. EVERGREEN PHARMACEUTICAL, LLC NPI is 1235240391. The provider is registered as an organization entity type.
The provider Is Doing Business As Omnicare Of Portland #48329.

The provider's business location address is:

11933 NE GLENN WIDING DR
PORTLAND, OR
ZIP 97220-099
Phone: (503) 254-1647
Fax: (503) 262-8763

The provider's authorized official is Susan Colbert .
The authorized official title is Sr Director, Payer Relations and has the following contact phone number (401) 770-2751.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/1/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.