Omeguru Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OMEGURU PHARMACY INC

Practice address

400 W I St Ste D
Los Banos, CA 93635-3459

Phone

(209) 255-2305

Fax

(209) 310-9659

NPI assigned

Dec 12, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Madhu Vanga, RPHNPI 1447247473

Title

Owner

Phone

(209) 255-2035

Specialties & licenses 1

Addresses

Other names 1

• Best West Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Madhu S.R Vanga

  • Pharmacist
  • Atwater, CA
  • NPI 1447247473
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1003527904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W I ST STE D",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353459",
            "telephone_number": "209-255-2305",
            "fax_number": "209-310-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W I ST STE D",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353459",
            "telephone_number": "209-255-2305",
            "fax_number": "209-310-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGURU PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "VANGA",
        "authorized_official_first_name": "MADHU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-255-2035",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Best West Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yamilet Novoa
• Stephanie Ocaranza
• Nayoung Oh, DDS
• Angela Ojeda
• Kelly Marie Okeefe
• Maria Marisol Orozco Cortez
• Jasmine Orozco
• Diana Ortiz
• Modupe Oluwatoyin Oso
• Edna Owens

• Community/Retail Pharmacy in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.