Omar Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

054018853 Issued in IL

Legal business name

OMAR PHARMACY INC

Practice address

4613 N Sheridan Rd
Chicago, IL 60640-5019

Phone

(773) 681-0080

Fax

(773) 754-7563

NPI assigned

Dec 21, 2015

Organization subpart

No

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

Authorized official

Name

Hani Abdallah

Title

Pharmacist in Charge

Phone

(773) 681-0080

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Drug Center Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1285099002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60640",
            "telephone_number": "773-681-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405019",
            "telephone_number": "773-681-0080",
            "fax_number": "773-754-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "ABDALLAH",
        "authorized_official_first_name": "HANI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "773-681-0080"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054018853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2157442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drug Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Om Red Ganesh Inc
• Megan Eileen Omahony, APN
• Janice Susan Omalley, PSYD
• Michael Omalley, O.D
• Wendy Oman, PSYD
• Dalya Omar, DNP, FNP
• Fadumo Omar, LCPC
• Imran M Omar, MD
• Mazouzah Omar, DNP
• Nadrine Sinead Omar, D.C.

• Community/Retail Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.