Ryan Obregon, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S026464 Issued in AZ

Practice address

1739 S Beverly Ave
Suite 106
Kingman, AZ 86409-8640

Phone

(928) 681-8778

Fax

(928) 681-8779

NPI assigned

Jul 19, 2007

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Male

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1326248311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE STE 106",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-681-8778",
            "fax_number": "702-650-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 S BEVERLY AVE",
            "address_2": "SUITE 106",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864098640",
            "telephone_number": "928-681-8778",
            "fax_number": "928-681-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBREGON",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "15925",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles R Norwood, PHARMD
• Erin Novak, PA-C
• Sarah Novak, CCC-SLP
• Kevin John O Brien, DPM
• Amy Oberg, PHD
• Melissa Ogden, FNP
• Abhinav Ohri
• Brad David Oliverson, D.O.
• Sharon Ellen Omalley, PA C
• Craig Masao Ono, MD

• Pharmacist in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.