Organization Active NPI

Ultracare Pharmacy, Inc

  • Oxygen Equipment & Supplies (DME)
  • Las Vegas, NV
National Provider Identifier
1679635718
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ULTRACARE PHARMACY, INC
Practice address
2545 Chandler Ave Ste 11
Las Vegas, NV 89120-4008
Phone
(702) 597-0518
Fax
(702) 597-0519
NPI assigned
Dec 14, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Robert Tiongson Batungbacal
Title
Manager
Phone
(702) 597-0518

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X NV
Nursing Facility Supplies (DME) 332BN1400X NV

Addresses

Primary practice location

2545 Chandler Ave Ste 11
Las Vegas, NV 89120-4008

Mailing address

2545 Chandler Ave Ste 11
Las Vegas, NV 89120-4008
Phone (702) 597-0518

National Provider Directory

National Provider Directory

Locations

2545 Chandler Ave
Ste 11
Las Vegas, NV 89120
Phone (702) 597-0518

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679635718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CHANDLER AVE STE 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204008",
            "telephone_number": "702-597-0518",
            "fax_number": "702-597-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CHANDLER AVE STE 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204008",
            "telephone_number": "702-597-0518",
            "fax_number": "702-597-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRACARE PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BATUNGBACAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TIONGSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-597-0518"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.