Evergreen Pharmacy, Inc
NPI 1083122949ActiveOrganization· Pharmacy· Palisades Park, NJ
Pharmacy in Palisades Park, New Jersey, registered in NPPES in January 2018. The authorized official on file is Yongsun Cho, Manager.
Overview
| NPI | 1083122949 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 12, 2018 |
| Last updated in NPPES | Jul 19, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | 28RS00761800 | NJ |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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