Omega Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28258 Issued in TX

Legal business name

OMEGA PHARMACY INC

Practice address

4507 Maple Ave Ste 100
Dallas, TX 75219-1830

Phone

(214) 599-8844

Fax

(214) 443-8121

NPI assigned

Jul 12, 2012

Organization subpart

No

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

Authorized official

Name

Anthony Ogbolu

Title

MD/Pic

Phone

(214) 676-6531

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• OMEGA PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1659636850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 MAPLE AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191830",
            "telephone_number": "214-599-8844",
            "fax_number": "214-443-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 MAPLE AVE STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191830",
            "telephone_number": "214-599-8844",
            "fax_number": "214-443-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "OGBOLU",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MD/PIC",
        "authorized_official_telephone_number": "214-676-6531"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "28258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136075",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146652",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMEGA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Mokua Ombongi, CRNA
• Lilian Atieno Omburo, APRN
• Omega Anesthesia, PLLC
• Omega Emergency Physicians PLLC
• Omega Neurological Associates LLC
• Omega Procedure Center
• Andrea Omehe
• Phoebe Omete
• Celine Omezi
• Omini Homecare Services, Inc.

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.