Omnicare of Tyler #48359 – Long Term Care Pharmacy, NPI 1396774071

Omnicare of Tyler #48359 is a healthcare provider. based in Tyler, Texas. specializing in Long Term Care Pharmacy. The NPI Number for Omnicare of Tyler #48359 is 1396774071

Main info

Organization
Inactive
Name
Omnicare of Tyler #48359
NPI
1396774071
Phone
(903) 533-8122
Address
105 JORDAN PLAZA BLVD
Deactivation Date
7 October 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness80
Years active:0State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Omnicare of Tyler #48359

  • 105 JORDAN PLAZA BLVD

    TYLER, TX 757042048

    Phone: (903) 533-8122

    Type: Location

  • CVS Caremark Corporation, 1, CVS Drive, Woonsocket, Providence County, Rhode Island, 02895, United States

    BOX 1075

    WOONSOCKET, RI 028956146

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75704)

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Reviews

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Frequently asked questions

What is Omnicare of Tyler #48359's NPI number?
Omnicare of Tyler #48359's NPI is 1396774071 — the number used across U.S. healthcare to identify this provider.
Can Omnicare of Tyler #48359 still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Omnicare of Tyler #48359?
Omnicare of Tyler #48359's specialty line reads Long Term Care Pharmacy. Clinical services aligned with this taxonomy classification.
Is Omnicare of Tyler #48359 located near Tyler?
Omnicare of Tyler #48359 currently maps to Tyler, Texas in this extract.
Does Omnicare of Tyler #48359 accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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