OMEGA PHARMACY LLC (NPI# 1508299710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508299710 |
| Entity Type | Organization |
| Organization Name | OMEGA PHARMACY LLC |
| Other Organization Name | OMEGA PHARMACY II |
| Practice Address |
640 Auburn Ave Pontiac MI 48342-3365 |
| Practice Telephone | 2484812462 |
| Mailing Telephone | 2484812462 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2014-06-25 |
| Authorized Official Name | AYODEJI ABEJIDE (CEO) |
| Authorized Official Telephone | 5869451778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
5301010143 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2141640 | 01 |
| Other Name | Type Code |
|---|---|
| OMEGA PHARMACY II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396709507 | Omega Pharmacy LLC | Pharmacy | 246 Oak St, Omega, GA 31775-3087 | 2006-04-14 |
| 1114290582 | Omega Pharmacy LLC | Pharmacy | 420 W Huron St, Pontiac, MI 48341-1425 | 2012-02-16 |
| Street Address |
640 AUBURN AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48342-3365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013008887 | Hershel B Cohen | Pharmacist | 640 Auburn Ave, Pontiac, MI 48342-3303 | 2006-09-27 |
| 1184713307 | 640 Auburn Road Drugs Inc | Pharmacy | 640 Auburn Ave, Pontiac, MI 48342-3365 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528589561 | Beloved Home Care LLC. | Home Health | 12 S Mill. St., Apt.314, Pontiac, MI 48342 | 2017-06-29 |
| 1518496942 | Boris Tkach | Student in an Organized Health Care Education/Training Program | 50 N. Perry, Pontiac, MI 48342 | 2017-06-08 |
| 1023547429 | Nicholas James Stepanski | Student in an Organized Health Care Education/Training Program | 50 N. Perry St., Pontiac, MI 48342 | 2017-06-08 |
| 1245769991 | Mecca House Corporation | Assisted Living Facility | 53 West Huron, Pontiac, MI 48342 | 2017-06-07 |
| 1134672868 | Shannon Blaine | Technician, Other | 103 Parkhurst Street, Pontiac, MI 48342 | 2016-07-29 |
| 1669819249 | Bonnie Ann Smith | Occupational Therapist | 60 Parkhurst Dr., Pontiac, MI 48342 | 2013-05-23 |
| 1205123361 | Mary Ellen Kenworthy | Emergency Medicine | 50 North Perry Street, Pontiac, MI 48342 | 2011-07-08 |
| 1740516343 | Nathima Habib Atchoo | Obstetrics & Gynecology | 90 West University, Gary Burnstein Community Health Clinic (free Clinic), Pontiac, MI 48342 | 2009-11-02 |
| 1881824233 | Sylvia Lyn Thompson | Physical Therapist | 900 Auburn Road, Pontiac, MI 48342 | 2009-07-20 |
| 1114154150 | Kyannah Toyann Anderson | Home Health | 175 S.edith St, Pontiac, MI 48342 | 2009-06-17 |
| Find all providers in zip 48342 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851869275 | Best Family Pharmacy LLC | Pharmacy | 693 Baldwin Ave, Pontiac, MI 48342-1318 | 2018-11-03 |
| 1083019079 | Neau Era Pharmacy | Pharmacy | 506 N Telegraph Rd, Pontiac, MI 48341 | 2014-11-03 |
| 1033545074 | Advicare Pharmacy, Inc. | Pharmacy | 1531 Highwood E, Pontiac, MI 48340-1234 | 2013-09-23 |
| 1295029312 | Srisiri Pharma Inc | Pharmacy | 989 University Dr Ste 107, Pontiac, MI 48342-1885 | 2011-06-06 |
| 1134423957 | Auburn Discount Pharmacy | Pharmacy | 263 Auburn Ave, Pontiac, MI 48342-3012 | 2011-01-09 |
| 1871897660 | Omote Rx Inc | Pharmacy | 1430 Joslyn Ave, Pontiac, MI 48340-2065 | 2011-01-07 |
| 1780992750 | Mykal Discount Pharmacy | Pharmacy | 1101 E Walton Blvd, Pontiac, MI 48340-1591 | 2010-09-23 |
| 1831201771 | Woodward Detroit Cvs, L.L.C. | Pharmacy | 66 E Walton Blvd, Pontiac, MI 48340-1277 | 2006-08-31 |
| 1679893887 | Sav-plus Pharmacy | Pharmacy | 775 Baldwin Ave, Pontiac, MI 48340-2576 | 2010-06-10 |
| 1427234863 | Bloomfield Pharmacy North PC | Pharmacy | 44200 Woodward Ave, Ste 107, Pontiac, MI 48341-5045 | 2008-01-16 |
| Find all providers in PONTIAC | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.