Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen Pharmacy LLC

Organization Pharmacy · NPI 1487101754

Evergreen Pharmacy LLC is a Pharmacy in West Allis, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10101 W Greenfield Ave
West Allis, WI 53214-3953
Phone: (414) 533-6600
Fax: (414) 533-6601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X · Licence 9421-42 (WI)
Long Term Care Pharmacy Taxonomy 3336L0003X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1487101754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Pearson — Ceo · (414) 727-5750
NPI enumeratedSeptember 5, 2016
Last updated in NPPESMarch 7, 2023
Certification dateMay 10, 2020
Mailing address10101 W Greenfield Ave, West Allis, WI 53214-3953

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