Omnicare Pharmacy of Texas No 1, LP

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

OMNICARE PHARMACY OF TEXAS NO 1, LP

Doing business as

Omnicare of Houston
Omnicare of Houston #48358

Practice address

10650 W Airport Blvd
Suite 150
Stafford, TX 77477-3057

Phone

(281) 776-8860

Fax

(800) 973-3455

NPI assigned

Jun 20, 2006

Last updated

Sep 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Colbert

Title

Sr Director, Payer Relations

Phone

(401) 770-2751

Specialties & licenses 1

Addresses

Other names 2

• Omnicare of Houston Doing business as
• Omnicare of Houston #48358 Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

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

• Omnicare Pharmacy of Texas No 1 LP

  dba Omnicare of Ft. Worth

  • Long Term Care Pharmacy
  • Fort Worth, TX
  • NPI 1568491553

  6901013366

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Omnicare Pharmacy of Texas No 1 LP

  dba Omnicare of Ft. Worth

  • Long Term Care Pharmacy
  • Fort Worth, TX
  • NPI 1568491553

  O20150821012661

  Same enrollment

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

Medicare medical equipment & supply locations

Member of 1

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

• CVS Pharmacy Inc.

  dba CVS Pharmacy #17247

  • Pharmacy
  • North Dartmouth, MA
  • NPI 1831271071

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1902842818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "BOX 1075",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 W AIRPORT BLVD",
            "address_2": "SUITE 150",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773057",
            "telephone_number": "281-776-8860",
            "fax_number": "800-973-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNICARE PHARMACY OF TEXAS NO 1, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SR DIRECTOR, PAYER RELATIONS",
        "authorized_official_telephone_number": "401-770-2751"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Omnicare of Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omnicare of Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Omnicare of Houston #48358",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shanteria Onyemem, CTRS, LPC

• Long Term Care Pharmacy in Stafford, TX
• Providers in Stafford, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.