Active NPI
Omer Ansari
- Pharmacist
- Nashville, NC
National Provider Identifier
1972049187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26465
- Practice address
- 2001 Eastern Ave
Nashville, NC 27856-1841 - Phone
- (252) 459-2223
- NPI assigned
- Jan 11, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26465 | NC | Primary |
Addresses
Primary practice location
2001 Eastern Ave
Nashville, NC 27856-1841
Mailing address
4100 Brewster Dr
Raleigh, NC 27606-1712
Phone (919) 946-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3410266 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26465 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 1
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": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1972049187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 BREWSTER DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276061712",
"telephone_number": "919-946-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 EASTERN AVE",
"city": "NASHVILLE",
"state": "NC",
"postal_code": "278561841",
"telephone_number": "252-459-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSARI",
"first_name": "OMER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "26465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3410266",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.