Organization Active NPI

Unity RX 102 LLC

  • Community/Retail Pharmacy
  • Wooster, OH
National Provider Identifier
1083483846
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNITY RX 102 LLC
Practice address
3540 Burbank Rd
Wooster, OH 44691-8539
Phone
(201) 744-0107
Fax
(330) 621-0789
NPI assigned
Dec 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heli Patel
Title
Owner
Phone
(201) 744-0107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

3540 Burbank Rd
Wooster, OH 44691-8539

Mailing address

3540 Burbank Rd
Wooster, OH 44691-8539
Phone (201) 744-0107

Other names 1

  • UNITY PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240403002569 OH Part B Supplier - Pharmacy 2264870799 Practice locations: Wooster, OH

National Provider Directory

National Provider Directory
Tax ID family
Unity Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1083483846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 BURBANK RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918539",
            "telephone_number": "201-744-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 BURBANK RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446918539",
            "telephone_number": "201-744-0107",
            "fax_number": "330-621-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY RX 102 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "HELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-744-0107"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.