Kevin D Bobst, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

15910 Issued in IA

Practice address

1805 Brady St
Davenport, IA 52803

Phone

(563) 322-5933

Fax

(563) 322-3850

NPI assigned

Sep 8, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Davenport, IA
  • NPI 1093720302
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1023399714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 SHAWNEE CIR",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527489523",
            "telephone_number": "563-285-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 BRADY ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803",
            "telephone_number": "563-322-5933",
            "fax_number": "563-322-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBST",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "15910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Michael Block, ATC, PTA
• Kisha Kay Blunk, ARNP, FNP
• Richard Carl Blunk, M.D.
• James L Boblit, RPH
• Michael Eugene Boblit, D.D.S.
• Ryan Bobst, BASW
• Maddilyn Boche, LMSW
• Lynn Marie Boelger, D.C.
• Ronnie J. Boesch, D.C.
• Margaret Jean Bohnert, OT

• Pharmacist in Davenport, IA
• Providers in Davenport, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.