Organization Active NPI

Om Healthcare LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
National Provider Identifier
1821657149
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OM HEALTHCARE LLC
Practice address
602 Bandera Road
San Antonio, TX 78228
Phone
(210) 475-3282
Fax
(210) 475-3285
NPI assigned
Jun 10, 2019
Organization subpart
Yes
Parent organization
OM HEALTHCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Authorized official

Name
Nirav Patel, PHARM D.
Title
Pharmacist/Owner
Phone
(210) 475-3282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

602 Bandera Road
San Antonio, TX 78228

Mailing address

602 Bandera Road
San Antonio, TX 78228
Phone (210) 475-3282

Other names 1

  • PRIMECARE PHARMACY #2 Doing business as

National Provider Directory

National Provider Directory
Part of
Om Healthcare LLC

Locations

602 Bandera Rd
San Antonio, TX 78228
Phone (210) 475-3282

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1821657149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BANDERA ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78228",
            "telephone_number": "210-475-3282",
            "fax_number": "210-475-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BANDERA ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78228",
            "telephone_number": "210-475-3282",
            "fax_number": "210-475-3285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM HEALTHCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OM HEALTHCARE LLC",
        "enumeration_date": "2019-06-10",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "210-475-3282",
        "authorized_official_credential": "PHARM D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMECARE PHARMACY #2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PRIMECARE PHARMACY #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.