# OMNICARE OF NEW YORK, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Omnicare of Bishop Gadsden
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073699849
- **Authorized official:** SUSAN COLBERT (SR DIRECTOR, PAYER RELATIONS)
- **Authorized official phone:** (401) 770-2751

## Contact information

- **Practice address:** 1 BISHOP GADSDEN WAY, CHARLESTON, SC 29412-3506
- **Practice address phone:** (843) 406-0902
- **Practice address fax:** (843) 406-0092
- **Mailing address:** 201 E 4TH ST, 900 OMNICARE CENTER, CINCINNATI, OH 45202-4248
- **Mailing address phone:** (513) 719-2600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 50-008477 | SC | — |
| 3336L0003X | Long Term Care Pharmacy | 50-008477 | SC | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 11/10/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4224767 | NCPDP | — |