Active NPI
Logan Lee Obes, PHARMD
- Pharmacist
- Hanover Township, PA
National Provider Identifier
1407604234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP458373
- Practice address
- 702 Sans Souci Pkwy
Hanover Township, PA 18706-1331 - Phone
- (570) 825-9811
- NPI assigned
- May 7, 2024
- 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 | RP458373 | PA | Primary |
Addresses
Primary practice location
702 Sans Souci Pkwy
Hanover Township, PA 18706-1331
Mailing address
702 Sans Souci Pkwy
Hanover Township, PA 18706-1331
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP458373 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- West Chester, PA
- NPI 1639063571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715040000000",
"number": "1407604234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SANS SOUCI PKWY",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187061331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 SANS SOUCI PKWY",
"city": "HANOVER TOWNSHIP",
"state": "PA",
"postal_code": "187061331",
"telephone_number": "570-825-9811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBES",
"first_name": "LOGAN",
"middle_name": "LEE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-07",
"last_updated": "2024-05-07",
"certification_date": "2024-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP458373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanover Township, PA
- Breanne Phillips Muthler, PT DPT
- Mary Champi Nametko, P.T.
- National Seating & Mobility, Inc.
- Nockley Family Pharmacy Inc
- David Lee Nockley, PHARMD
- Gena Panatieri, LCSW
- Pharmerica Drug Systems LLC
- Phoenix Rehabilitation and Health Services, Inc.
- Courtney Ann Pierce, MPT
- Power Chiropractic Health Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.