MD Omega Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MD OMEGA PHARMACY INC

Doing business as

MD Omega Pharmacy II

Practice address

823 Southern Blvd
West Palm Beach, FL 33405-2529

Phone

(561) 547-7710

Fax

(561) 547-7719

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Rosa Castro

Title

Co-Owner Secretary

Phone

(561) 547-7710

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MD OMEGA PHARMACY II Doing business as

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1871830034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 SOUTHERN BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052529",
            "telephone_number": "561-547-7710",
            "fax_number": "561-547-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 SOUTHERN BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334052529",
            "telephone_number": "561-547-7710",
            "fax_number": "561-547-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD OMEGA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CO-OWNER SECRETARY",
        "authorized_official_telephone_number": "561-547-7710",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID #",
            "identifier": "6078680001",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032214800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD OMEGA PHARMACY II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.