Remgbekor

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

Y007459 Issued in AZ

Legal business name

REMGBEKOR

Doing business as

South Central Pharmacy

Practice address

7227 S Central Ave Ste 1080
Phoenix, AZ 85042-5457

Phone

(602) 441-3564

Fax

(602) 441-4838

NPI assigned

Feb 8, 2018

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olufemi OmodaraNPI 1174028310

Title

Owner

Phone

(602) 441-3564

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• SOUTH CENTRAL PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olufemi A Omodara, RPH

  • Pharmacist
  • Phoenix, AZ
  • NPI 1174028310
  Authorized official Same address or phone

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1396244976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5693",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380612",
            "telephone_number": "602-441-3564",
            "fax_number": "602-441-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 S CENTRAL AVE STE 1080",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425457",
            "telephone_number": "602-441-3564",
            "fax_number": "602-441-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMGBEKOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "OMODARA",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-441-3564"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332800000X",
            "taxonomy_group": "",
            "desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "Y007459",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176046",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365183",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH CENTRAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francine Remacle
• Remaz Rehab
• Laura Remchek
• Remedium Dream Clinic LLC
• Daniel Remen, M.D.
• Michelle Remillard, LPN
• Rebekah Ysabel Reminajes, RN
• Danielle Remington, LAC, NCC
• Annette Remitera, PT, DPT
• Silke Rempe, M.D.

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.