Anita Ben-Obi, PHARMD – Pharmacist

Key facts

NPI: 1629673249
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: RPH030232 (GA)
Practice address: 100 S Peachtree Pkwy
Peachtree City, GA 30269-1705
Phone: (770) 487-4307
NPI assigned: Dec 1, 2020
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

State licenses

License	State	Type	Specialty
RPH030232	GA	MD	Pharmacist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	RPH030232	GA	Yes

Addresses

Primary practice location

100 S Peachtree Pkwy
Peachtree City, GA 30269-1705

Mailing address

100 S Peachtree Pkwy
Peachtree City, GA 30269-1705
Phone (770) 487-4307

Other practice location 1

1544 Bass Rd
Macon, GA 31210-7510
Phone (478) 471-4494 ext. 1

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2022.

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1629673249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691705",
            "telephone_number": "770-487-4307",
            "fax_number": "770-487-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691705",
            "telephone_number": "770-487-4307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1544 Bass Rd",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312107510",
            "country_code": "US",
            "telephone_number": "478-471-4494 x1",
            "fax_number": "478-471-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEN-OBI",
        "first_name": "ANITA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

All providers in Peachtree City, GA · Pharmacist in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2022. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.