Omni Pharmacy

LBN: Jolore Services Corporation
Omni Pharmacy is an health care organization with primary practice located at 150 E Sunrise Hwy Suite 100, Lindenhurst NY 11757. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Jolore Services Corporation can be contacted via phone (631) 957-8630, or through Goldstein, Joel via phone (631) 957-8630.

Contact Information

Primary practice address
150 E Sunrise Hwy Suite 100 Lindenhurst NY 11757
Fax:
Website:
Authorized official contact:
Name: Goldstein, Joel

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 024154 New York

Profile Details

NPI number 1578692356
LBN Legal business name Jolore Services Corporation
DBA Doing business as Omni Pharmacy
Authorized official Goldstein, Joel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Jan 17th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578692356 NPPES
New York MEDICAID 02278095
New York Other 2060922

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