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Evergreen Pharmacy LLC

Pharmacy in West Allis, WI · enumerated 2016 · authorized official Richard Pearson, Ceo.

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

National Provider Identifier

1487101754

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Pharmacy LLC
Practice address 10101 W Greenfield Ave, West Allis, WI, 53214
Fax (414) 533-6601
Enumeration date Sep 5, 2016
Last updated in NPPES Mar 7, 2023

Taxonomy & classification

333600000X Pharmacy Suppliers · License 9421-42 (WI) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Richard Pearson
Title Ceo

Other identifiers

Identifier Type State Issuer
9421-42 Other WI STATE PHARMACY LICENSE

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Evergreen Pharmacy LLC?
Evergreen Pharmacy LLC is registered in NPPES as a Pharmacy (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.