Active NPI
Yossan Legesse Obole
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Reynoldsburg, OH
National Provider Identifier
1427731934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 03443405
- Practice address
- 8460 E Main St
Reynoldsburg, OH 43068-4766 - Phone
- (614) 552-0780
- NPI assigned
- Aug 10, 2023
- Last updated
- Jul 1, 2026
- Sex
- Male
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03443405 | OH | Primary |
Addresses
Primary practice location
8460 E Main St
Reynoldsburg, OH 43068-4766
Mailing address
7581 Bay Hill Dr
Pickerington, OH 43147-9057
Phone (614) 551-0426
Other practice location 1
31550 Chieftain Dr
Logan, OH 43138-9087
Phone (740) 380-2041
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03443405 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1427731934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7581 BAY HILL DR",
"city": "PICKERINGTON",
"state": "OH",
"postal_code": "431479057",
"telephone_number": "614-551-0426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8460 E MAIN ST",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430684766",
"telephone_number": "614-552-0780"
}
],
"practiceLocations": [
{
"address_1": "31550 Chieftain Dr",
"address_purpose": "LOCATION",
"city": "Logan",
"state": "OH",
"postal_code": "431389087",
"country_code": "US",
"telephone_number": "740-380-2041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBOLE",
"first_name": "YOSSAN",
"middle_name": "LEGESSE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-10",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OH",
"license": "03443405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.