Olufemi A Omodara, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

511406 Issued in AZ

Practice address

7227 S. Central Ave
#1080
Phoenix, AZ 85042

Phone

(602) 441-3564

Fax

(602) 441-4838

NPI assigned

Mar 29, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Love Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Phoenix, AZ
  • NPI 1093367328
  NPD Authorized official

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1174028310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5693",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85042",
            "telephone_number": "623-521-5935",
            "fax_number": "602-441-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 S. CENTRAL AVE",
            "address_2": "#1080",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85042",
            "telephone_number": "602-441-3564",
            "fax_number": "602-441-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMODARA",
        "first_name": "OLUFEMI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "511406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omnia Pain Consultants, PA
• Omnipotent Health Services
• Omniscript Compounding LLC
• Omniscript Compounding LLC
• Omniscript Compounding LLC
• Mildred K Omoongeh, NP
• Robert Omwoyo Omuria, MD
• On Angel'S Wings, Inc.
• On Pointllc
• On Sight Optical LLC

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.