Evergreen Pharmaceutical of California, LLC
NPI 1871605105ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Hayward, CA
Pharmacy, Long Term Care Pharmacy in Hayward, California, registered in NPPES in August 2006. The authorized official on file is Susan Colbert, Sr Director, Payer Relations. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1871605105 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Jan 4, 2021 |
| Certified by provider | Jan 4, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (CA) |
|---|
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