Kimberly Ann Obeldobel

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH022877 Issued in GA

Practice address

2580 Sandy Plains Rd
Marietta, GA 30066-5798

Phone

(770) 565-5681

NPI assigned

Sep 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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
  • Marietta, GA
  • NPI 1104832559
  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": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1194006957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 SANDY PLAINS RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665798",
            "telephone_number": "770-565-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 SANDY PLAINS RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665798",
            "telephone_number": "770-565-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBELDOBEL",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022877",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP039968L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oasis Therapy Group LLC
• OB-GYN Associates 2 LLC
• OB-GYN Associates of Marietta, LLC
• OB-GYN Associates, PA
• Olusola Obayomi-Davies, MD
• Kimberly Hope Obenshain, PA
• Stacie Hamley Oberstein, M.D.
• Nagimesi Audrey Obino, M.D.
• Chima Obodo, RBT
• Catherine R Obosky, CNM

• Pharmacist in Marietta, GA
• Providers in Marietta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.