Organization
EVERCARE INC
Active
Organization
EVERCARE INC
Active
Other names
Supreme Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ISRAEL ENECHUKWU (PRESIDENT)
(863) 940-4733
Entity
Organization
Contact information
Practice address
1611 N FLORIDA AVE, LAKELAND, FL 33805-3107
(863) 940-4733
(863) 940-4734
Mailing address
PO BOX 90014, LAKELAND, FL 33804-0014
(863) 940-4733
(863) 940-4734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25644
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004275800
—
FL
01
—
2132624
PK
—
Enumeration date
11/08/2011
Last updated
05/15/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up