Omnicare of Nevada, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

OMNICARE OF NEVADA, LLC

Practice address

1525 E Sunset Rd
Suite 16
Las Vegas, NV 89119-4911

Phone

(702) 456-4229

NPI assigned

Sep 2, 2006

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 1

• Omnicare of Las Vegas #48307 Doing business as

Medicare fee-for-service enrollment

Enrolled in NV2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Omnicare of Nevada, LLC

  • Long Term Care Pharmacy
  • Reno, NV
  • NPI 1396847133

  1951519925

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Omnicare of Nevada, LLC

  • Long Term Care Pharmacy
  • Reno, NV
  • NPI 1396847133

  O20231201000467

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  • Pharmacy
  • Dallas, TX
  • NPI 1578667366

  Member Of

  NPD member

Practitioners 1

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

• Cynthia To, PHARMD

  • Pharmacist
  • Las Vegas, NV
  • NPI 1245936087
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1245332055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E SUNSET RD",
            "address_2": "SUITE 16",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891194911",
            "telephone_number": "702-456-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE OF NEVADA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-02",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omnicare of Las Vegas #48307",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omnia Medical Supply, LLC
• Omnia Pharmacy Inc
• Omnia Wound Care, LLC
• Omnibus Medical Corp
• Omnicare Health Services LLC
• Oluwatobi Oladipupo Omosebi
• Karen Delcina Omosola, PHD
• Precious Omotoyinbo
• Oms Surgical
• Audra Omwanghe

• Long Term Care Pharmacy in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Long Term Care Pharmacy in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.