Omni Care Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30259 Issued in FL

Legal business name

OMNI CARE PHARMACY LLC

Practice address

4432 Hendricks Ave
Jacksonville, FL 32207-6326

Phone

(904) 423-0123

Fax

(904) 379-6446

NPI assigned

Nov 15, 2016

Organization subpart

No

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

Authorized official

Name

Dr. William Patrick NimoNPI 1306989538

Title

Pharmacist in Charge

Phone

(904) 423-0123

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Omni Care Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Patrick Nimo, PHARMD

  • Ambulatory Care Pharmacist
  • Jacksonville, FL
  • NPI 1306989538
  NPD Authorized official
• Dixie Anne Murphy, PHARMD

  • Pharmacist
  • Jacksonville, FL
  • NPI 1497196893
  NPD (past)

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1780126250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076326",
            "telephone_number": "904-423-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 HENDRICKS AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322076326",
            "telephone_number": "904-423-0123",
            "fax_number": "904-379-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI CARE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "NIMO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "904-423-0123",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30259",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2166675",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omni Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omega Pain Care Dispensary
• Omega Surgical Supply Inc.
• Michelle Warzecha Omega, MD, MS
• Michelle Enid Ferreira Omelia, MSN, FNP-BC
• Omi of Jacksonville Inc
• Omni Home Care
• Omni Home Health District 4, LLC
• Omnicare Pharmacy of Florida, LLC
• Brittanie Omodt, MA, LPCC
• Christina Omoso, CNA

• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.