Gencare Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GENCARE PHARMACY INC

Practice address

15761 Tustin Village Way Ste 108
Tustin, CA 92780-8328

Phone

(714) 388-6775

NPI assigned

May 15, 2020

Organization subpart

No

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

Authorized official

Name

Kien Quoc NguyenNPI 1134653504

Title

Ceo

Phone

(714) 486-3455

Specialties & licenses 1

Addresses

Other names 1

• GenCare Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kien Nguyen

  • Pharmacist
  • Long Beach, CA
  • NPI 1134653504
  NPD Authorized official
• Kiana Kaveh, PHARM.D

  • Pharmacist
  • Tustin, CA
  • NPI 1952291007
  NPD

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1912529645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15761 TUSTIN VILLAGE WAY STE 108",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808328",
            "telephone_number": "714-388-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15761 TUSTIN VILLAGE WAY STE 108",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927808328",
            "telephone_number": "714-388-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KIEN",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-486-3455"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GenCare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garvin Group
• Edgar Omar Garza, PA-C
• Henry Markley Gass IV, M.D.
• GB Eastern Medicine Clinic,Inc.
• Madeline Geerken, AMFT #162890
• Paul Genser, M.D.
• Susan Gent
• Cynthia Martinez Genter, R.D.H.
• Cindy Therese Georgie, DPT
• Mona Gerami

• Community/Retail Pharmacy in Tustin, CA
• Providers in Tustin, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.