Omm Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201003734 Issued in VA

Legal business name

OMM INC

Doing business as

Medicine Shoppe

Practice address

14454 Jefferson Davis Hwy
Woodbridge, VA 22191-2806

Phone

(703) 491-7883

Fax

(703) 491-7923

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Amit Y Shah, RPH

Title

Owner

Phone

(703) 491-7883

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medicine Shoppe Doing business as

Tax ID family

Medicine Shoppe2 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.

• Omm, Inc

  dba the medicine shoppe

  • Pharmacist
  • Woodbridge, VA
  • NPI 1063552263
  NPD tax ID

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255432795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14454 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912806",
            "telephone_number": "703-491-7883",
            "fax_number": "703-491-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14454 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221912806",
            "telephone_number": "703-491-7883",
            "fax_number": "703-491-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "AMIT",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-491-7883",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201003734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4836005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Olson, DPT
• Morenike J Olu, MD
• Charbene Williams Olugbemi, PA-C
• Angele Francine Omadjela, PT, DPT
• Mohammad Akbar Omar
• Omm, Inc (the medicine shoppe)
• One Care Medical
• One Hanson Pharmacy and Wellness Center (Number 1 Hanson Pharmacy)
• One Hanson Pharmacy and Wellness Center LLC
• Markeece Oneale, IDC

• Community/Retail Pharmacy in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.