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Omega Pharmacy LLC

Community/Retail Pharmacy in Pontiac, MI · enumerated 2012 · authorized official Ayodeji Abejide, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114290582

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Registry record

Entity type Organization (Type 2)
Legal business name Omega Pharmacy LLC
Other name <Unavail>
Practice address 420 W Huron St, Pontiac, MI, 48341
Fax (248) 481-9168
Enumeration date Feb 16, 2012
Last updated in NPPES Dec 8, 2014

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 5301009758 (MI) Primary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers Secondary
3336M0002X Mail Order Pharmacy Suppliers Secondary
3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Ayodeji Abejide
Title Chief Executive Officer

Other identifiers

Identifier Type State Issuer
1114290582 Medicaid MI -
2134037 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Omega Pharmacy LLC?
The NPI for Omega Pharmacy LLC is 1114290582, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Omega Pharmacy LLC?
NPPES lists Ayodeji Abejide (Chief Executive Officer) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-12-08.