Shaden Omar

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

176545 Issued in CA

Practice address

4077 Governor Dr
San Diego, CA 92122-2522

Phone

(858) 453-0631

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • San Diego, CA
  • NPI 1033228556
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1346995677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4077 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222522",
            "telephone_number": "858-453-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4077 GOVERNOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222522",
            "telephone_number": "858-453-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "SHADEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "176545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdulkadir Omar
• Carla Beth Omar, R.N.
• Faiza Ahmed Omar
• Ifrah Omar
• Khadija Omar
• Suheyb Ahmed Omar, N/A
• Ome Ventures Inc
• Mary Jane Omens, LCSW
• Susan Omens
• Bwaar Omer

• Pharmacy Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.