Provider Demographics
NPI:1225353220
Name:SERNA, OMAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:OMAR
Middle Name:
Last Name:SERNA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 PEDDIE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-4553
Mailing Address - Country:US
Mailing Address - Phone:281-501-8643
Mailing Address - Fax:
Practice Address - Street 1:512 E 11TH ST BLDG A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-7004
Practice Address - Country:US
Practice Address - Phone:713-869-2225
Practice Address - Fax:713-869-0088
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46214183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist