NPIMap

Organization Active NPI

Omm, Inc

  • Pharmacist
  • Woodbridge, VA
National Provider Identifier
1063552263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202011966 Issued in VA
Legal business name
OMM, INC
Practice address
14454 Jefferson Davis Hwy
Woodbridge, VA 22191-2806
Phone
(703) 491-7883
Fax
(703) 491-7923
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amit Y Shah, PHARMACIST-OWNER
Title
Owner
Phone
(703) 491-7883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 0202011966 VA Primary

Addresses

Primary practice location

14454 Jefferson Davis Hwy
Woodbridge, VA 22191-2806

Mailing address

14454 Jefferson Davis Hwy
Woodbridge, VA 22191-2806
Phone (703) 491-7883

Other names 1

  • the medicine shoppe Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medicine Shoppe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063552263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14454 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912806",
            "telephone_number": "703-491-7883",
            "fax_number": "703-491-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14454 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912806",
            "telephone_number": "703-491-7883",
            "fax_number": "703-491-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-491-7883",
        "authorized_official_credential": "PHARMACIST-OWNER"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the medicine shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.