Organization Active NPI

Omni Health Corp

Doing business as Medical Center Pharmacy

  • Pharmacy
  • Paris, TN
National Provider Identifier
1770696437
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
1062 Issued in TN
Legal business name
OMNI HEALTH CORP
Doing business as
Medical Center Pharmacy
Practice address
234 Tyson Ave
Paris, TN 38242-5853
Phone
(731) 642-2451
Fax
(731) 642-7246
NPI assigned
Aug 16, 2006
Last updated
Aug 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
J Nichols
Title
Owner
Phone
(731) 642-2451

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1062 TN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 1062 TN
Pharmacy 333600000X 1062 TN Primary
Community/Retail Pharmacy 3336C0003X 1062 TN
Home Infusion Therapy Pharmacy 3336H0001X 1062 TN
Long Term Care Pharmacy 3336L0003X 1062 TN
Mail Order Pharmacy 3336M0002X 1062 TN
Specialty Pharmacy 3336S0011X 1062 TN

Addresses

Primary practice location

234 Tyson Ave
Paris, TN 38242-5853

Mailing address

234 Tyson Ave
Paris, TN 38242-5853
Phone (731) 642-2451

Other identifiers 2

IdentifierTypeStateIssuer
102712OtherTNBCBS
3546501MedicaidTN

Other names 1

  • MEDICAL CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1770696437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425853",
            "telephone_number": "731-642-2451",
            "fax_number": "731-642-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 TYSON AVE",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425853",
            "telephone_number": "731-642-2451",
            "fax_number": "731-642-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HEALTH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-642-2451"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "1062",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TN",
            "license": "1062",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "1062",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "1062",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "TN",
            "license": "1062",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "1062",
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "TN",
            "license": "1062",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "TN",
            "license": "1062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "102712",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3546501",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDICAL CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paris, TN

Sources for this page

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