Provider Demographics
NPI:1720391246
Name:UNITED CARE PHARMACY CORP
Entity Type:Organization
Organization Name:UNITED CARE PHARMACY CORP
Other - Org Name:UNITED CARE PHARMACY CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:REAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-369-2803
Mailing Address - Street 1:4424 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-1104
Mailing Address - Country:US
Mailing Address - Phone:718-369-2803
Mailing Address - Fax:718-369-2804
Practice Address - Street 1:4424 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-1104
Practice Address - Country:US
Practice Address - Phone:718-369-2803
Practice Address - Fax:718-369-2804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
NY0302143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5800710OtherNCPDP PROVIDER IDENTIFICATION NUMBER
5800710OtherNCPDP PROVIDER IDENTIFICATION NUMBER