Carl Scott O'Banion, PHARMD, BCNSP

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

License

22917 Issued in TX

Practice address

5411 30TH St
Lubbock, TX 79407-3408

Phone

(806) 799-1237

NPI assigned

Jul 21, 2005

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1508865403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 30TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073408",
            "telephone_number": "806-799-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 30TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073408",
            "telephone_number": "806-799-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BANION",
        "first_name": "CARL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCNSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "22917",
            "primary": false
        },
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "TX",
            "license": "22917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Nutt-Lopez
• Frank Nwabugwu, RPH
• Kemnasom Nwanwene
• Danelle Lynne Nymeyer, DO
• Lincoln Nymeyer, MD
• Kristin Nicole O'Banion, APRN, FNP-C
• Ethan Bernard O'Boyle, DO
• Brandee Denise O'Brian, RN
• Justin Marshall O'Brien, MD
• John O'Connor Jr.

• Nutrition Support Pharmacist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Nutrition Support Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.