Omar Odeh, PHARM.D.

Primary specialty

PharmacyTaxonomy code 333600000X

License

5301011565 Issued in MI

Practice address

25656 Schoenherr Rd
Warren, MI 48089-1492

Phone

(313) 443-0948

NPI assigned

Apr 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• 3 Brothers Pharmacy LLC

  • Pharmacy
  • Warren, MI
  • NPI 1316400906
  NPD Authorized official

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1922561513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25656 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25656 SCHOENHERR RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891492",
            "telephone_number": "313-443-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODEH",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-10",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MI",
            "license": "5301011565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imad Makram Obeid, M.D.
• Kevin M Obrien, MD
• Occupational Health Centers of Michigan, P.C.
• Occupational Health Centers of Michigan, P.C.
• Anthony Joseph Oddo, D.O.
• Malinda Odisho
• Ogawa Macomb Eye Center, P.C.
• Donovan M Ogboh, DO
• Elaine Ognjanovski, D.O.
• Tae-Ju Oh, DDS MS

• Pharmacy in Warren, MI
• Providers in Warren, MI by specialty
• Pharmacy in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.