Active NPI
Vincent Getanda Omuya, PHARMACIST
- Pharmacist
- Odessa, TX
National Provider Identifier
1033817192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 71807
- Practice address
- 2450 W Loop 338
Odessa, TX 79763-3201 - Phone
- (432) 334-8537
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 71807 | TX | Primary |
Addresses
Primary practice location
2450 W Loop 338
Odessa, TX 79763-3201
Mailing address
10517 N Macarthur Blvd Apt 2033
Irving, TX 75063-5131
Phone (214) 677-6270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71807 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1033817192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10517 N MACARTHUR BLVD APT 2033",
"city": "IRVING",
"state": "TX",
"postal_code": "750635131",
"telephone_number": "214-677-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 W LOOP 338",
"city": "ODESSA",
"state": "TX",
"postal_code": "797633201",
"telephone_number": "432-334-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMUYA",
"first_name": "VINCENT",
"middle_name": "GETANDA",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "71807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.