Uni Care RX LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

03742023 Issued in MS

Legal business name

UNI CARE RX LLC

Practice address

124 Walnut Cir
Ste 1
Hattiesburg, MS 39401-3500

Phone

(601) 544-4848

Fax

(601) 544-4868

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Stephen Worrel, PHARMD

Title

Cfo

Phone

(601) 544-4848

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• UNI CARE RX Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1669512109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WALNUT CIR",
            "address_2": "STE 1",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013500",
            "telephone_number": "601-544-4848",
            "fax_number": "601-544-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 WALNUT CIR",
            "address_2": "STE 1",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013500",
            "telephone_number": "601-544-4848",
            "fax_number": "601-544-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNI CARE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "WORREL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-544-4848",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "MS",
            "license": "03742023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2045623",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330325",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNI CARE RX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooklee Lightsey Tynes, M.A.
• Ronald Price Tynes Jr., AGACNP
• William David Tynes, R.PH.
• Akemini Udoro, MD
• Jeremy Todd Unger, DO
• University of Southern Mississippi
• University of Southern Mississippi
• University of Southern Mississippi
• Urology Center, P.a.
• Usm Dubard School

• Long Term Care Pharmacy in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.