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OMEGA PHARMACY
NPI 1114290582
Pharmacy - Community/Retail Pharmacy in Pontiac, MI

Active since February 16, 2012CLIA 23D2252109 · Waiver
420 W HURON ST, PONTIAC, MI 48341(248) 481-9004(248) 481-9168 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omega Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMEGA PHARMACY (NPI 1114290582) is a healthcare organization registered as a community/retail pharmacy in Pontiac, Michigan and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through February 7, 2028 and lists Ayodeji Abejide, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1114290582
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOMEGA PHARMACY LLC
Location Address420 W HURON STPontiac, MI 48341-1425
Mailing Address420 W Huron StPontiac, MI 48341-1425 · (248) 481-9004 · Fax (248) 481-9168
Phone(248) 481-9004
Fax(248) 481-9168
Organization SubpartNo
Authorized OfficialAyodeji AbejideChief Executive Officer · (586) 945-1778
Enumeration DateFebruary 16, 2012
Last NPPES UpdateDecember 8, 2014
✔ NPI 1114290582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MI · 5301009758
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
420 W HURON ST, Pontiac, MI 48341
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Other Names 1

Doing Business AsOmega Pharmacy

Other Identifiers 2

Other2134037Pk
Medicaid1114290582MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2252109

Omega Pharmacy LLC · Pontiac, MI
Active · expires Feb 7, 2028
CLIA Number23D2252109
Laboratory TypePharmacy
Certificate Effective DateFebruary 8, 2026
Certificate Expiration DateFebruary 7, 2028
Laboratory DirectorAyodeji Abejide
Laboratory Phone(248) 481-9004
Laboratory LocationOmega Pharmacy LLC420 W Huron Street, Pontiac, MI 48341
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYODEJI EYITAYO ABEJIDE
Pharmacist
420 W HURON ST
PONTIAC, MI 48341
Oakland County (248) 481-9004
RX DRUGS INC
Pharmacy (Community/Retail Pharmacy)
420 W HURON ST
PONTIAC, MI 48341
Oakland County (248) 253-2550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omega Pharmacy LLC's NPI number?

The NPI number for Omega Pharmacy LLC is 1114290582. It was assigned to this organization in the NPPES registry on February 16, 2012. The provider is doing business as Omega Pharmacy.

Where is Omega Pharmacy LLC located?

Omega Pharmacy LLC is located at 420 W Huron St, Pontiac, MI 48341. The listed phone number is (248) 481-9004.

What is Omega Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Omega Pharmacy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2252109) is associated with this NPI, valid through February 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Omega Pharmacy LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 51 other insurers list Omega Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Omega Pharmacy LLC was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.