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

Evergreen Shop Pharmacy Inc

Organization Pharmacy · NPI 1083067995

Evergreen Shop Pharmacy Inc is a Pharmacy in Glendora, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

150 S Grand Ave Ste K
Glendora, CA 91741-4715
Phone: (626) 335-2442
Fax: (626) 335-0220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 54456 (CA)
Pharmacy Taxonomy 333600000X

Record details

NPI number1083067995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Manal Kest — Corparation Officer · (310) 866-3415
Other names Evergreen Shop Pharmacy
NPI enumeratedJuly 14, 2016
Last updated in NPPESAugust 10, 2016
Mailing address150 S Grand Ave Ste K, Glendora, CA 91741-4715

Other providers in Glendora