Healthcare Provider Details

I. General information

NPI: 1164219747
Provider Name (Legal Business Name): UNION CARE RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17705 UNION TPKE
FRESH MEADOWS NY
11366-1517
US

IV. Provider business mailing address

17705 UNION TPKE
FRESH MEADOWS NY
11366-1517
US

V. Phone/Fax

Practice location:
  • Phone: 718-674-6032
  • Fax: 718-674-6036
Mailing address:
  • Phone: 718-674-6032
  • Fax: 718-674-6036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AYESHA SHAMIM
Title or Position: PRESIDENT
Credential:
Phone: 718-674-6032