Unicare Pharmacy & Supply Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY51250 Issued in CA

Legal business name

UNICARE PHARMACY & SUPPLY INC

Practice address

301 S Fair Oaks Ave
Ste 104
Pasadena, CA 91105-2561

Phone

(626) 793-7771

Fax

(626) 793-7772

NPI assigned

Feb 7, 2014

Organization subpart

No

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

Authorized official

Name

Lili Gevorkian, RPHNPI 1114461720

Title

Ceo

Phone

(626) 793-7771

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• UNICARE PHARMACY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Unicare Pharmacy & Supply Inc

  • Community/Retail Pharmacy
  • Arcadia, CA
  • NPI 1922418813

  O20140815000199, O20141028002732

  Same enrollment

Locations

Practitioners 1

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

• Lili Gevorkian, PHARD

  • Pharmacotherapy Pharmacist
  • Glendale, CA
  • NPI 1114461720
  NPD Authorized official

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

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1457775736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "STE 104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-793-7771",
            "fax_number": "626-793-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "STE 104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-793-7771",
            "fax_number": "626-793-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICARE PHARMACY & SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-07",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "GEVORKIAN",
        "authorized_official_first_name": "LILI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-793-7771",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144196",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "unicarepharmacysupply@gmail.com",
            "affiliation": "N",
            "address_1": "301 S Fair Oaks Ave Ste 104",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911052536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "UNICARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaina Ung, PT, DPT
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• Community/Retail Pharmacy in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.