Omega Pain Care Dispensary

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

OS8811 Issued in FL

Legal business name

OMEGA PAIN CARE DISPENSARY

Practice address

3101 University Blvd S
Suite #203
Jacksonville, FL 32216-2790

Phone

(813) 231-6351

NPI assigned

Jan 17, 2008

Organization subpart

Yes

Parent organization

PHYSICIAN'S CHOICE DISPENSING SERVICESAs reported in NPPES

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

Authorized official

Name

Ms. Cicely D Eason

Title

Executive Administrator

Phone

(561) 789-4911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1356527576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4688",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333384688",
            "telephone_number": "954-376-7313",
            "fax_number": "954-697-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 UNIVERSITY BLVD S",
            "address_2": "SUITE #203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162790",
            "telephone_number": "813-231-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PAIN CARE DISPENSARY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICIAN'S CHOICE DISPENSING SERVICES",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "CICELY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-789-4911",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "OS8811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omega Elite Home Care Corp
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• Omega Health and Nutrition LLC (The Organic Acid Clinic)
• Omega Medical Inc.
• Omega Surgical Supply Inc.
• Michelle Warzecha Omega, MD, MS
• Michelle Enid Ferreira Omelia, MSN, FNP-BC
• Omi of Jacksonville Inc
• Omni Care Pharmacy LLC (Omni Care Pharmacy)

• Non-Pharmacy Dispensing Site in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Non-Pharmacy Dispensing Site in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.