John Unimke Undie, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

82147 Issued in CA

Practice address

12351 Mariposa Rd
Victorville, CA 92395-6013

Phone

(760) 843-7000

Fax

(760) 843-7900

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unik Care Pharmacy

  • Community/Retail Pharmacy
  • San Bernardino, CA
  • NPI 1124872916
  NPD Authorized official
• JMK Medical Clinic

  • Primary Care Clinic/Center
  • San Bernardino, CA
  • NPI 1174284509
  NPD

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1699426577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6855 PORTOFINO CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917018637",
            "telephone_number": "404-849-2014",
            "fax_number": "909-352-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 MARIPOSA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923956013",
            "telephone_number": "760-843-7000",
            "fax_number": "760-843-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDIE",
        "first_name": "JOHN",
        "middle_name": "UNIMKE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "82147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lafayette Michael Tylee, M.D.
• UC Irvine Health CDDC High Desert
• Daisy Ann Ukonu, LCSW
• Jeremiah Umakanthan, M.D.
• Jodi Irene Umberson
• Unicare Health Inc (Desert Pharmacy)
• Unicare Health Inc (Desert Pharmacy)
• Julia May Union
• United Hospice, Inc.
• United Hospice, Inc. (Hospice House of United Hospice)

• Pharmacist in Victorville, CA
• Providers in Victorville, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.