# OMNICARE PHARMACY INC

> 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:** Omni Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083973507
- **Authorized official:** ALEXANDER SHISTER (PRESIDENT)
- **Authorized official phone:** (414) 737-9585

## Contact information

- **Practice address:** 1134 W NORTH AVE, MILWAUKEE, WI 53205-1333
- **Practice address phone:** (414) 727-3005
- **Mailing address:** 5335 W RIVER TRAIL RD, MEQUON, WI 53092-4876
- **Mailing address phone:** (414) 333-2478

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 9121-42 | WI | Yes |

## Other

- **Enumeration date:** 05/04/2012
- **Last updated:** 12/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2135044 | PK | — |