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

Evergreen Rx Inc

Organization Pharmacy · NPI 1346241700

Evergreen Rx Inc is a Pharmacy in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11779 Santa Monica Blvd
Los Angeles, CA 90025-2843
Phone: (310) 444-9011
Fax: (310) 444-0418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY51906 (CA)
Pharmacy Taxonomy 333600000X
Specialty Pharmacy Taxonomy 3336S0011X

Record details

NPI number1346241700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yury Akopyan — Owner · (310) 444-9011
Other names Medico Pharmacy
NPI enumeratedAugust 9, 2005
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024
Mailing address11779 Santa Monica Blvd, Los Angeles, CA 90025-2843

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