Individual provider Active NPI

Yahia Abdo Omar, RPH

  • Pharmacist
  • Livonia, MI
National Provider Identifier
1902426034
Registry record updated Apr 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5315112090 Issued in MI
Practice address
32131 Industrial Rd
Livonia, MI 48150-1836
Phone
(734) 762-6600
NPI assigned
Apr 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5315112090 MI Primary

Addresses

Primary practice location

32131 Industrial Rd
Livonia, MI 48150-1836

Mailing address

6334 Steadman St
Dearborn, MI 48126-2064
Phone (313) 595-6130

Other identifiers 1

IdentifierTypeStateIssuer
O560947029447OtherMISECRETARY OF STATE DL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yahia.omar@albertsons.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
5315112090MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medcart Specialty Care LLC PastSince Apr 26, 2020 Accepting new patients
Medcart LTC Inc PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1902426034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 STEADMAN ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262064",
            "telephone_number": "313-595-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32131 INDUSTRIAL RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501836",
            "telephone_number": "734-762-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAR",
        "first_name": "YAHIA",
        "middle_name": "ABDO",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-18",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315112090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECRETARY OF STATE DL",
            "identifier": "O560947029447",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yahia.omar@albertsons.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32131 Industrial Rd",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481501836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.