NPIMap

Organization Active NPI

Dracarys Health

Doing business as Omac

  • Community/Retail Pharmacy
  • Oxnard, CA
National Provider Identifier
1083703631
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DRACARYS HEALTH
Doing business as
Omac
Omac Pharmacy
Practice address
901 W 7TH St
Oxnard, CA 93030-6755
Phone
(805) 486-2688
Fax
(805) 487-8068
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Authorized official

Name
Dr. Jesse MilesNPI 1790133858
Title
President
Phone
(805) 486-2688

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY48314 CA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

901 W 7TH St
Oxnard, CA 93030-6755

Mailing address

901 W 7TH St
Oxnard, CA 93030-6755
Phone (805) 486-2688

Other identifiers 2

IdentifierTypeStateIssuer
1994287OtherPK
PHA408390MedicaidCA

Other names 2

  • OMAC Doing business as
  • OMAC PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190918001686 CA DME Supplier - Pharmacy 3870828791 Practice locations: Oxnard, CA
O20210210000740 CA Part B Supplier - Mass Immunization (Roster Biller Only) 3870828791 Practice locations: Oxnard, CA

National Provider Directory

National Provider Directory
Tax ID family
Dracarys Health2 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.

Locations

901 W 7th St
Oxnard, CA 93030
Phone (805) 486-2688

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1083703631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306755",
            "telephone_number": "805-486-2688",
            "fax_number": "805-487-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306755",
            "telephone_number": "805-486-2688",
            "fax_number": "805-487-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRACARYS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-486-2688",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY48314",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1994287",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA408390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMAC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OMAC PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.