Provider Demographics
NPI:1316066731
Name:OMNIPLUS HEALTHCARE, L.P.
Entity type:Organization
Organization Name:OMNIPLUS HEALTHCARE, L.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCNEELY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:713-796-1010
Mailing Address - Street 1:2626 S LOOP W
Mailing Address - Street 2:SUITE 555
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2654
Mailing Address - Country:US
Mailing Address - Phone:713-796-1010
Mailing Address - Fax:713-790-1499
Practice Address - Street 1:2626 S LOOP W
Practice Address - Street 2:SUITE 555
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2654
Practice Address - Country:US
Practice Address - Phone:713-796-1010
Practice Address - Fax:713-790-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169563336C0003X, 332BC3200X, 3336S0011X, 3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX750887OtherBLUE CROSS BLUE SHIELD