United Care Pharmacy , LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PHY49087 Issued in CA

Legal business name

UNITED CARE PHARMACY , LLC

Doing business as

Mike's Medical Pharmacy

Practice address

2700 International Blvd
# A
Oakland, CA 94601-1520

Phone

(510) 532-1762

Fax

(510) 536-2016

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Holly Johnson Friar

Title

President

Phone

(510) 532-1762

Specialties & licenses 2

Addresses

Other names 1

• Mike's Medical Pharmacy Doing business as

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1396740494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD",
            "address_2": "# A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011520",
            "telephone_number": "510-532-1762",
            "fax_number": "510-536-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 INTERNATIONAL BLVD",
            "address_2": "# A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946011520",
            "telephone_number": "510-532-1762",
            "fax_number": "510-536-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CARE PHARMACY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "FRIAR",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-532-1762"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY49087",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY49087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mike's Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.