Omnicare of Carolina

Primary specialty

PharmacyTaxonomy code 333600000X

License

06223 Issued in NC

Legal business name

OMNICARE OF CAROLINA

Practice address

4901 Caswell PL W
Suite D
Wilson, NC 27893-8136

Phone

(800) 762-1419

Fax

(800) 542-3323

NPI assigned

Aug 4, 2005

Organization subpart

No

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

Authorized official

Name

Diane Shreenan

Title

Billing Manager

Phone

(800) 762-1419

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Mesh Pharmacy2 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.

• Ocr-Ra Acquisition, LLC

  • Community/Retail Pharmacy
  • Greensboro, NC
  • NPI 1669659017
  NPD tax ID

Locations

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1366443988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 CASWELL PL W",
            "address_2": "SUITE D",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938136",
            "telephone_number": "800-762-1419",
            "fax_number": "800-542-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 CASWELL PL W",
            "address_2": "SUITE D",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278938136",
            "telephone_number": "800-762-1419",
            "fax_number": "800-542-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE OF CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHREENAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "800-762-1419"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "06223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3428984",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645291",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Annschultheis O'Donoghue, PHD, LAT, ATC, CSCS
• Renee Odom Thompson
• Anayo Theodora Ogbonna
• Young-Mi Oh, D.D.S.
• Oliver Enterprise
• Once More, LLC
• Onestop Therapeutics and Support Services, PLLC
• Opportunities Industrialization of Wilson, Incorporated
• Gabriela Isabel Oquendo-Claudio, MD
• Cara Orduno, MSW, QP, LCSWA

• Pharmacy in Wilson, NC
• Providers in Wilson, NC by specialty
• Pharmacy in North Carolina

• 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.