Individual provider Active NPI

Wayne Frederick Oberfield, RPH

  • Pharmacist
  • Scottsdale, AZ
National Provider Identifier
1184778664
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10090 Issued in AZ
Practice address
9185 E Pima Center Pkwy Ste 200
Scottsdale, AZ 85258-4646
Phone
(855) 847-3553
Fax
(855) 847-3558
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36033 TX
Pharmacist 183500000X PS 27719 FL
Pharmacist 183500000X 10090 AZ Primary

Addresses

Primary practice location

9185 E Pima Center Pkwy Ste 200
Scottsdale, AZ 85258-4646

Mailing address

PO Box 25991
Scottsdale, AZ 85255-0116
Phone (480) 201-1275

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
36033TXMDClinical Psychologist
10090AZMDPharmacist
PS 27719FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumicera Health Services LLC CurrentSince Feb 9, 2025 Accepting new patients
Walmart Inc. Past Accepting new patients
Walmart Inc. Past Accepting new patients

Locations

9185 E Pima Center Pkwy
Ste 200
Scottsdale, AZ 85258
Phone (855) 847-3553

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1184778664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25991",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852550116",
            "telephone_number": "480-201-1275",
            "fax_number": "413-622-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9185 E PIMA CENTER PKWY STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584646",
            "telephone_number": "855-847-3553",
            "fax_number": "855-847-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERFIELD",
        "first_name": "WAYNE",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "36033",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 27719",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "10090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.