Keiichiro Omori Md
Non-pharmacy Dispensing Site
1801 W Romneya Dr Ste 407, Anaheim
California, 92801-1827
714-533-3870 714-533-6714
Keiichiro Omori Md is not a DME supplier for medicare equipments and products.
Keiichiro Omori Md is a Non-pharmacy Dispensing Site in Anaheim, California. It is located at 1801 W Romneya Dr Ste 407, Anaheim and it's customer support contact number is 714-533-3870. The authorized person of Keiichiro Omori Md is Direndia Shackelford who is Managed Care Specialist of the pharmacy and his contact number is 800-654-0889. Active license number of Keiichiro Omori Md is A26248 for Non-pharmacy Dispensing Site in California.
Keiichiro Omori Md is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Keiichiro Omori Md type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Keiichiro Omori Md |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1801 W Romneya Dr Ste 407, Anaheim, California, 92801-1827 |
| Phone: | 714-533-3870 |
| Fax: | 714-533-6714 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Direndia Shackelford |
| Position: | Managed Care Specialist |
| Contact Number: | 800-654-0889 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1821171158 |
| NPI Enumeration Date: | 23 Oct, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Keiichiro Omori Md are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | A26248 | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0558710 | Other | | Other Id Number-commercial Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1801 W Romneya Dr Ste 407, Anaheim, California |
| Zip: | 92801-1827 |
| Phone Number: | -- |
Patients can reach Keiichiro Omori Md at
1801 W Romneya Dr Ste 407, Anaheim, California or can
call on customer care at 714-533-3870.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.