United Medcare

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

55401 Issued in CA

Legal business name

UNITED MEDCARE

Doing business as

Phoenix Pharmacy

Practice address

1127 Wilshire Blvd Ste 201
Los Angeles, CA 90017-3903

Phone

(213) 482-0644

Fax

(213) 482-0668

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Fung-Wah Lam

Title

President

Phone

(213) 482-0644

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Phoenix Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Evanich

  • Pharmacist
  • Los Angeles, CA
  • NPI 1023317203
  NPD (past)

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1184127805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173903",
            "telephone_number": "213-482-0644",
            "fax_number": "213-482-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173903",
            "telephone_number": "213-482-0644",
            "fax_number": "213-482-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "FUNG-WAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-482-0644"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "55401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• United Dental Wilshire Corporation
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• United Hospice Care of Central Valley, Inc.
• United Independent Taxi Cooperative, Inc.
• United Medcare
• United Medical Imaging Healthcare, Inc.
• United Medical Imaging Healthcare, Inc.
• United Medical Imaging Healthcare, Inc.
• United Medical Imaging Healthcare, Inc.

• Long Term Care Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.