Active NPI
Fredrick Obi, RPH
- Pharmacist
- Lakeland, FL
National Provider Identifier
1558088898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS41099
- Practice address
- 6105 US Highway 98 N
Lakeland, FL 33809-6223 - Phone
- (863) 858-4441
- NPI assigned
- Oct 26, 2022
- 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 | PS41099 | FL | Primary |
Addresses
Primary practice location
6105 US Highway 98 N
Lakeland, FL 33809-6223
Mailing address
7340 West Dr
Wesley Chapel, FL 33544-3318
Phone (941) 713-6774
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 |
|---|---|---|---|
| PS41099 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Wesley Chapel, FL
- NPI 1770467466
-
- Pharmacy
- Lakeland, FL
- NPI 1902900806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1558088898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 WEST DR",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335443318",
"telephone_number": "941-713-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6105 US HIGHWAY 98 N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338096223",
"telephone_number": "863-858-4441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBI",
"first_name": "FREDRICK",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-26",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS41099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
- Kristy Laine O'Neill, FNP
- Oakbridge Health Care Associates LLC
- Oakbridge Nursing and Rehab Center LLC
- Oakdale Diagnostic Laboratories LLC
- Thomas William Oates, MD
- Henry Jerome Obrien, ED.S.
- Ocala Rehabilitation Physicians
- Rachiela Pangan Ocampo, PT
- Reymon David Ocampo, PT
- Bernadette Chua Ocampos, RPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.