SRR Healthcare Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31937 Issued in TX

Legal business name

SRR HEALTHCARE INC

Doing business as

Omni Pharmacy

Practice address

1210 E Parker Rd Ste 120
Plano, TX 75074-5376

Phone

(469) 969-0090

Fax

(469) 969-0095

NPI assigned

Mar 29, 2018

Last updated

Apr 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oscar Ndereva

Title

Ownerr

Phone

(469) 969-0090

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Omni Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1205331311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 E PARKER RD",
            "address_2": "STE - 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745334",
            "telephone_number": "469-969-0090",
            "fax_number": "469-969-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 E PARKER RD STE 120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750745376",
            "telephone_number": "469-969-0090",
            "fax_number": "469-969-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRR HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "NDEREVA",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNERR",
        "authorized_official_telephone_number": "469-969-0090"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omni Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shimna Sreedharan
• Jaya Srinath
• Sarath Chandran Srinivasan, MDS
• Sroyc PLLC
• SRP Behavioral Hospital of Plano LLC (WellBridge Healthcare of Plano)
• St Jude Medical S.C. Inc (St Jude Medical Neuro Division)
• Amy Graddy St. John, D.C., LMT
• Rebecca E Stachniak, M.D.
• Peter Steven Stack, M.D.
• Stacy R Stephens MD Ralph J Turner MD and Associates

• Community/Retail Pharmacy in Plano, TX
• Providers in Plano, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.