Active NPI
William Mitchell Obrian, R.PH.
- Pharmacist
- Virginia Beach, VA
National Provider Identifier
1235341207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202004719
- Practice address
- 1800 Republic Dr.
Virginia Beach, VA 23454-4542 - Phone
- (757) 422-4509
- Fax
- (757) 422-4681
- NPI assigned
- May 4, 2007
- Last updated
- Dec 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202004719 | VA | Primary |
Addresses
Primary practice location
1800 Republic Dr.
Virginia Beach, VA 23454-4542
Mailing address
913 Five Point Rd
Virginia Beach, VA 23454-2604
Phone (757) 496-8714
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0202004719 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1235341207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "913 FIVE POINT RD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234542604",
"telephone_number": "757-496-8714",
"fax_number": "757-496-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 REPUBLIC DR.",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544542",
"telephone_number": "757-422-4509",
"fax_number": "757-422-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRIAN",
"first_name": "WILLIAM",
"middle_name": "MITCHELL",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202004719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.