Omega Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5301010143 Issued in MI

Legal business name

OMEGA PHARMACY LLC

Doing business as

Omega Pharmacy II

Practice address

640 Auburn Ave
Pontiac, MI 48342-3365

Phone

(248) 481-2462

NPI assigned

Aug 12, 2013

Last updated

Jun 25, 2014By 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

Ayodeji AbejideNPI 1275817405

Title

Ceo

Phone

(586) 945-1778

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• OMEGA PHARMACY II Doing business as

Locations

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.

• Ayodeji Eyitayo Abejide

  • Pharmacist
  • Pontiac, MI
  • NPI 1275817405
  NPD Authorized official

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1508299710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 AUBURN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423365",
            "telephone_number": "248-481-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 AUBURN AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483423365",
            "telephone_number": "248-481-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "ABEJIDE",
        "authorized_official_first_name": "AYODEJI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-945-1778"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301010143",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMEGA PHARMACY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micaela Olivas, LLMSW
• Olamide Ologundudu
• Natalie Oltean, FNP-BC
• Debbie Olter
• Omega Pharmacy LLC (Omega Pharmacy)
• Omote RX Inc
• One Call Staffing
• Felecia Ann Oneal
• Opdyke Medical, PLLC
• Rachel L. Opiela, PA

• Community/Retail Pharmacy in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Community/Retail Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.