Individual provider Active NPI

Roya Omari, PHARMACIST

  • Pharmacist
  • East Lansing, MI
National Provider Identifier
1184368094
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302413554 Issued in MI
Practice address
1649 Wintercrest St
East Lansing, MI 48823-1734
Phone
(517) 515-0180
NPI assigned
Apr 26, 2022
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302413554 MI Primary

Addresses

Primary practice location

1649 Wintercrest St
East Lansing, MI 48823-1734

Mailing address

1649 Wintercrest St
East Lansing, MI 48823-1734

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Okay

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

LicenseStateTypeSpecialty
5302413554MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1184368094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 WINTERCREST ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 WINTERCREST ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231734",
            "telephone_number": "517-515-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMARI",
        "first_name": "ROYA",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302413554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Okay",
            "affiliation": "N",
            "address_1": "1649 Wintercrest St",
            "city": "East Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488231734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.