Omc Retail Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

OMC RETAIL SERVICES LLC

Practice address

111 County Road 11 NW
Pine Island, MN 55963-9756

Phone

(507) 356-2476

Fax

(507) 280-1770

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Christopher Dornack

Title

Pharmd

Phone

(507) 292-7255

Specialties & licenses 1

Addresses

Other names 1

• Olmsted Medical Center Pine Island Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Omc Retail Services LLC

  • Community/Retail Pharmacy
  • Rochester, MN
  • NPI 1114344215

  0143445486

  Same PAC ID
• Omc Retail Services LLC

  • Community/Retail Pharmacy
  • Rochester, MN
  • NPI 1811241169

  0143445486

  Same PAC ID
• Omc Retail Services. LLC

  • Community/Retail Pharmacy
  • Chatfield, MN
  • NPI 1437706033

  0143445486

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Olmsted Medical Center Chatfield Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Omc Retail Services LLC

  • Community/Retail Pharmacy
  • Rochester, MN
  • NPI 1811241169
  NPD tax ID
• Omc Retail Services. LLC

  • Community/Retail Pharmacy
  • Chatfield, MN
  • NPI 1437706033
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Olmsted Medical Center

  • General Acute Care Hospital
  • Rochester, MN
  • NPI 1538112131

  Member Of

  NPD member

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647907200000",
    "number": "1841949237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COUNTY ROAD 11 NW",
            "city": "PINE ISLAND",
            "state": "MN",
            "postal_code": "559639756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COUNTY ROAD 11 NW",
            "city": "PINE ISLAND",
            "state": "MN",
            "postal_code": "559639756",
            "telephone_number": "507-356-2476",
            "fax_number": "507-280-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMC RETAIL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "DORNACK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHARMD",
        "authorized_official_telephone_number": "507-292-7255"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olmsted Medical Center Pine Island Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristine Rita Prescher-Meints, D.C.
• Private Healthcare Facilities

• Community/Retail Pharmacy in Pine Island, MN
• Providers in Pine Island, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.