Organization Active NPI

Omnicare Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Homer Glen, IL
National Provider Identifier
1467406629
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OMNICARE GROUP, INC
Practice address
13557 Parkland CT
Homer Glen, IL 60491-7577
Phone
(630) 460-3571
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Abdullah Haj-Darwish
Title
President
Phone
(630) 460-3571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

13557 Parkland CT
Homer Glen, IL 60491-7577

Mailing address

13557 Parkland CT
Homer Glen, IL 60491-7577
Phone (630) 460-3571

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467406629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13557 PARKLAND CT",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917577",
            "telephone_number": "630-460-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13557 PARKLAND CT",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917577",
            "telephone_number": "630-460-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAJ-DARWISH",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-460-3571",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.