Individual provider Active NPI

Kayla Bobenrieth, PHARMD

  • Pharmacist
  • Saint Marys, PA
National Provider Identifier
1659097228
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP457260 Issued in PA
Practice address
763 Johnsonburg Rd Ste 100
Saint Marys, PA 15857-3400
Phone
(814) 788-5602
Fax
(814) 788-5603
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP457260 PA Primary
Diabetes Educator Registered Nurse 163WD0400X RP457260 PR

Addresses

Primary practice location

763 Johnsonburg Rd Ste 100
Saint Marys, PA 15857-3400

Mailing address

763 Johnsonburg Rd Ste 100
Saint Marys, PA 15857-3400
Phone (814) 788-5602

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

LicenseStateTypeSpecialty
RP457260PRMDDiabetes Educator Registered Nurse
RP457260PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
US Complete Care Inc CurrentSince Oct 23, 2022 Accepting new patients
Elk Regional Health Center Pharmacist CurrentSince Nov 24, 2025 Accepting new patients
US Complete Care Inc Diabetes Educator CurrentSince Oct 23, 2022 Accepting new patients

Locations

763 Johnsonburg Rd
Ste 100
Saint Marys, PA 15857
Phone (814) 788-5602

6 Railroad St
Saint Marys, PA 15857
Phone (814) 834-2618

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1659097228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD STE 100",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573400",
            "telephone_number": "814-788-5602",
            "fax_number": "814-788-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 JOHNSONBURG RD STE 100",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573400",
            "telephone_number": "814-788-5602",
            "fax_number": "814-788-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBENRIETH",
        "first_name": "KAYLA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP457260",
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "PR",
            "license": "RP457260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Marys, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.