Healthcare Provider Details

I. General information

NPI: 1801738729
Provider Name (Legal Business Name): UNITY HEALTHSOURCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 N GRANT ST STE 8236
DENVER CO
80203-1859
US

IV. Provider business mailing address

1500 N GRANT ST STE 8236
DENVER CO
80203-1859
US

V. Phone/Fax

Practice location:
  • Phone: 720-776-5328
  • Fax:
Mailing address:
  • Phone: 720-776-5328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. CARLOS JEFERSON ABERCA RIVERA
Title or Position: OWNER
Credential:
Phone: 720-776-5328