Healthcare Provider Details
I. General information
NPI: 1578574083
Provider Name (Legal Business Name): UNICARE PHARMA INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2006
Last Update Date: 12/26/2025
Certification Date: 12/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14971 BROOKHURST ST STE A
WESTMINSTER CA
92683-6071
US
IV. Provider business mailing address
14971 BROOKHURST ST STE A
WESTMINSTER CA
92683-6071
US
V. Phone/Fax
- Phone: 714-531-2828
- Fax: 714-531-2288
- Phone: 714-531-2828
- Fax: 714-531-2288
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | PHY47599 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VU
NGOC
Title or Position: PRESIDENT
Credential: RPH
Phone: 714-531-2828