Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Evergreen Pharmacy Inc

Community/Retail Pharmacy in San Jose, CA · enumerated 2007 · authorized official Kevin Dang, President.

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

National Provider Identifier

1396933545

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Registry record

Entity type Organization (Type 2)

Legal business name Evergreen Pharmacy Inc

Other name <Unavail>

Practice address 2690 S White Rd, Ste 200a, San Jose, CA, 95148

Phone (408) 270-0670

Fax (855) 274-7399

Enumeration date Oct 11, 2007

Last updated in NPPES Feb 28, 2017

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 48826 (CA) Primary

Authorized official

Name Kevin Dang

Title President

Phone (408) 270-0670

Other identifiers

Identifier	Type	State	Issuer
1396933545	Medicaid	CA	-
2112962	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.

Read the full guide → Validate an NPI →

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 2017-02-28. Verify at npiregistry.cms.hhs.gov.

Where is Evergreen Pharmacy Inc located?

The practice location on file with NPPES is in San Jose, CA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-02-28.