Organization Active NPI

Omnia Pharmacy Inc

Doing business as Omnia Pharmacy

  • Community/Retail Pharmacy
  • Las Vegas, NV
National Provider Identifier
1003565938
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OMNIA PHARMACY INC
Doing business as
Omnia Pharmacy
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
Last updated
Feb 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Mr. Mathew Eissa, RPHNPI 1467159145
Title
Pharmacist in Charge/Manager
Phone
(702) 405-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

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

Mailing address

1807 W Charleston Blvd Ste 110
Las Vegas, NV 89102-2328
Phone (702) 405-8585

Other names 1

  • Omnia Pharmacy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL omniapharmacy22@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • 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.