Organization Active NPI

Unicare Pharmacy & Supply Inc

Doing business as Unicare Pharmacy

  • Community/Retail Pharmacy
  • Arcadia, CA
National Provider Identifier
1922418813
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55825 Issued in CA
Legal business name
UNICARE PHARMACY & SUPPLY INC
Doing business as
Unicare Pharmacy
Practice address
289 W Huntington Dr Ste 101
Arcadia, CA 91007-3492
Phone
(626) 793-7776
Fax
(626) 793-7772
NPI assigned
May 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Anna Nalbandyan
Title
Ceo
Phone
(626) 793-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY55825 CA Primary

Addresses

Primary practice location

289 W Huntington Dr Ste 101
Arcadia, CA 91007-3492

Mailing address

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

Other practice location 1

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

Other names 1

  • Unicare Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140815000199 CA Part B Supplier - Pharmacy 2365669355 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasadena, CA
O20141028002732 CA Part B Supplier - Mass Immunization (Roster Biller Only) 2365669355 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pasadena, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1922418813",
    "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": "289 W HUNTINGTON DR STE 101",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073492",
            "telephone_number": "626-793-7776",
            "fax_number": "626-793-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Fair Oaks Ave",
            "address_2": "SUITE 104",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052561",
            "country_code": "US",
            "telephone_number": "626-793-7771",
            "fax_number": "626-793-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNICARE PHARMACY & SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "NALBANDYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-793-7771"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unicare Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.