Omnia Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OMNIA PHARMACY INC

Practice address

1807 W Charleston Blvd Ste 110
Las Vegas, NV 89102-2328

Phone

(702) 405-8585

Fax

(702) 405-8769

NPI assigned

Mar 18, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Mathew Eissa, RPH

Title

Pharmacist in Charge/Manager

Phone

(702) 405-8585

Specialties & licenses 1

Addresses

Other names 1

• Omnia Pharmacy Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1003565938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W CHARLESTON BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022328",
            "telephone_number": "702-405-8585",
            "fax_number": "702-405-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W CHARLESTON BLVD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022328",
            "telephone_number": "702-405-8585",
            "fax_number": "702-405-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "EISSA",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/MANAGER",
        "authorized_official_telephone_number": "702-405-8585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "omniapharmacy22@gmail.com",
            "affiliation": "N",
            "endpointDescription": "secure pharmacy email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email for patient and provider information exchange",
            "address_1": "1807 W Charleston Blvd Ste 110",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891022328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Omnia Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Omnicare Health Services LLC
• Omnicare of Nevada, LLC
• Oluwatobi Oladipupo Omosebi

• Community/Retail Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Retail Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.