GENCARE PHARMACY INC
NPI 1912529645
Pharmacy - Community/Retail Pharmacy in Tustin, CA

Active since May 15, 2020CLIA 05D2269153 · Waiver
15761 TUSTIN VILLAGE WAY STE 108, TUSTIN, CA 92780(714) 388-6775 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gencare Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENCARE PHARMACY INC (NPI 1912529645), doing business as Gencare Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Tustin, California and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through September 20, 2026 and lists Kien Quoc Nguyen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912529645
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGENCARE PHARMACY INC
Location Address15761 TUSTIN VILLAGE WAY STE 108Tustin, CA 92780-8328
Mailing Address15761 Tustin Village Way Ste 108Tustin, CA 92780-8328 · (714) 388-6775
Organization SubpartNo
Authorized OfficialKien Quoc NguyenCeo · (714) 486-3455
Enumeration DateMay 15, 2020
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1912529645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

15761 TUSTIN VILLAGE WAY STE 108, Tustin, CA 92780

Other Names 1

Doing Business AsGencare Pharmacy

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2269153

Gencare Pharmacy · Tustin, CA
Active · expires Sep 20, 2026
CLIA Number05D2269153
Laboratory TypePharmacy
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorJenny B. Dang
Laboratory Phone(714) 486-3455
Laboratory LocationGencare Pharmacy15761 Tustin Village Way Suite 108, Tustin, CA 92780
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
51 services51 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
40 services40 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
23 services23 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
23 services23 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Gencare Pharmacy carries, from the Medicare DMEPOS supplier directory.

Gencare Pharmacy

DMEPOS supplier · Tustin, CAOperated by Gencare Pharmacy Inc

Accepts Medicare assignment

Gencare Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20407529
Medicare Participant SinceFebruary 8, 2021
Supplier Location15761 Tustin Village Way Ste 108Tustin, CA 92780
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
15761 TUSTIN VILLAGE WAY STE 108
TUSTIN, CA 92780
Pharmacy (Community/Retail Pharmacy)
15761 TUSTIN VILLAGE WAY STE 108
TUSTIN, CA 92780

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gencare Pharmacy Inc's NPI number?

The NPI number for Gencare Pharmacy Inc is 1912529645. It was assigned to this organization in the NPPES registry on May 15, 2020. The provider is doing business as GenCare Pharmacy.

Where is Gencare Pharmacy Inc located?

Gencare Pharmacy Inc is located at 15761 Tustin Village Way Ste 108, Tustin, CA 92780. The listed phone number is (714) 388-6775.

What is Gencare Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Gencare Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Gencare Pharmacy accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Gencare Pharmacy Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2269153) is associated with this NPI, valid through September 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gencare Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 38 other insurers list Gencare Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gencare Pharmacy Inc was last updated on September 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.