Organization Active NPI

Unicare Health Services, Inc.

Doing business as Unicare Pharmacy

  • Community/Retail Pharmacy
  • Pasadena, CA
National Provider Identifier
1871636571
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY48448 Issued in CA
Legal business name
UNICARE HEALTH SERVICES, INC.
Doing business as
Unicare Pharmacy
Practice address
301 S Fair Oaks Ave
Suite 104
Pasadena, CA 91105-2561
Phone
(626) 793-7771
Fax
(626) 793-7772
NPI assigned
Feb 14, 2007
Last updated
Jun 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Robert Gevorkian, MR
Title
President
Phone
(626) 793-7771

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY47227 CA
Community/Retail Pharmacy 3336C0003X PHY48448 CA Primary

Addresses

Primary practice location

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

Mailing address

301 S Fair Oaks Ave
Suite 104
Pasadena, CA 91105-2561
Phone (626) 793-7771

Other identifiers 3

IdentifierTypeStateIssuer
151492OtherCAHOME FURNISHING AND THERM
1871636571MedicaidCA
5616151OtherCANPI

Other names 1

  • UNICARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1871636571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE 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": "SUITE 104",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-793-7771",
            "fax_number": "626-793-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICARE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "GEVORKIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-793-7771",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY47227",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME FURNISHING AND THERM",
            "identifier": "151492",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871636571",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "5616151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNICARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.