Active NPI
Unicare Health Inc
- Community/Retail Pharmacy
- Victorville, CA
National Provider Identifier
1841842945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- UNICARE HEALTH INC
- Practice address
- 12401 Hesperia Rd Ste 3
Victorville, CA 92395-5844 - Phone
- (760) 552-7200
- Fax
- (760) 552-7201
- NPI assigned
- Jul 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gopal D Sojitra, PHARM D
- Title
- Cfo/Pharmacist
- Phone
- (760) 552-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
12401 Hesperia Rd Ste 3
Victorville, CA 92395-5844
Mailing address
12401 Hesperia Rd Ste 3
Victorville, CA 92395-5844
Phone (760) 552-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHY57381 | Other | CA | BOARD OF PHARMACY PERMIT |
Other names 1
- DESERT PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241111000276 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 0042744393 | Practice locations: Victorville, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Desert Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Victorville, CA
- NPI 1396564514
Locations
12401 Hesperia Rd
Ste 3
Victorville, CA 92395
Phone (760) 552-7200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Victorville, CA
- NPI 1801569397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1562716800000",
"number": "1841842945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12401 HESPERIA RD STE 3",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955844",
"telephone_number": "760-552-7200",
"fax_number": "760-552-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12401 HESPERIA RD STE 3",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955844",
"telephone_number": "760-552-7200",
"fax_number": "760-552-7201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNICARE HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-10",
"last_updated": "2019-07-10",
"status": "A",
"authorized_official_last_name": "SOJITRA",
"authorized_official_first_name": "GOPAL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CFO/PHARMACIST",
"authorized_official_telephone_number": "760-552-7200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY PERMIT",
"identifier": "PHY57381",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DESERT PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.