Organization Active NPI

Omega Integrated Health System

  • Community/Retail Pharmacy
  • San German, PR
National Provider Identifier
1881661882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
07-F-2064 Issued in PR
Legal business name
OMEGA INTEGRATED HEALTH SYSTEM
Practice address
#102 Calle Santiago Veve
San German, PR 00683
Phone
(787) 892-5177
Fax
(787) 892-5715
NPI assigned
Mar 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Nitza Acosta, RPH
Title
Pharmacist
Phone
(787) 892-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 07-F-2064 PR Primary

Addresses

Primary practice location

#102 Calle Santiago Veve
San German, PR 00683

Mailing address

PO Box 166
San German, PR 00683-0166
Phone (787) 892-5177

Other identifiers 1

IdentifierTypeStateIssuer
4016083OtherPRNABP

Other names 1

  • OMEGA Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881661882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830166",
            "telephone_number": "787-892-5177",
            "fax_number": "787-892-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#102 CALLE SANTIAGO VEVE",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-5177",
            "fax_number": "787-892-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA INTEGRATED HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "NITZA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "787-892-5177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PR",
            "license": "07-F-2064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "4016083",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OMEGA Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.