Jacks Drug Store And Medical Supplies

LBN: Omegamarg Pharmacy Inc
Jacks Drug Store And Medical Supplies is an health care organization with primary practice located at 121 Tunstead Ave , San Anselmo CA 94960-2616. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Omegamarg Pharmacy Inc can be contacted via phone (415) 454-1451, or through Katpelly, Srinivas via phone (415) 454-1451.

Contact Information

Primary practice address
121 Tunstead Ave San Anselmo CA 94960-2616
Phone: (415) 454-1451
Fax: (415) 454-2865
Website:
Map and Directions
Authorized official contact:
Name: Katpelly, Srinivas
Phone: (415) 454-1451

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PHY49029 California

Profile Details

NPI number 1386673556
LBN Legal business name Omegamarg Pharmacy Inc
DBA Doing business as Jacks Drug Store And Medical Supplies
Authorized official Katpelly, Srinivas
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Jul 19th, 2018 - about 8 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 1386673556 NPPES
California MEDICAID PHA375550
California Other 1996097

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