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Evergreen Shop Pharmacy Inc

Community/Retail Pharmacy in Glendora, CA · enumerated 2016 · authorized official Manal Kest, Corparation Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1083067995

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Shop Pharmacy Inc
Other name <Unavail>
Practice address 150 S Grand Ave Ste K, Glendora, CA, 91741
Fax (626) 335-0220
Enumeration date Jul 14, 2016
Last updated in NPPES Aug 10, 2016

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 54456 (CA) Primary

Authorized official

Name Manal Kest
Title Corparation Officer

Other identifiers

Identifier Type State Issuer
2162500 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-08-10. Verify at npiregistry.cms.hhs.gov.
Where is Evergreen Shop Pharmacy Inc located?
The practice location on file with NPPES is in Glendora, CA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-08-10.