Omnicare Physician Providers LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OMNICARE PHYSICIAN PROVIDERS LLC

Practice address

405 State Highway 121 Byp
Suite A250
Lewisville, TX 75067-8214

Phone

(469) 573-5017

Fax

(888) 431-4912

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Nick Majecki

Title

Ceo

Phone

(469) 573-5017

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1881082337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP",
            "address_2": "SUITE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678214",
            "telephone_number": "469-573-5017",
            "fax_number": "888-431-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP",
            "address_2": "SUITE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678214",
            "telephone_number": "469-573-5017",
            "fax_number": "888-431-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE PHYSICIAN PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "MAJECKI",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-573-5017"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.