Harry William Conrad Oberg III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

2074 Issued in WY

Practice address

524 Front St
Evanston, WY 82930-3577

Phone

(307) 789-3494

Fax

(307) 789-5554

NPI assigned

Jan 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Hna Inc.

  • Pharmacy
  • Evanston, WY
  • NPI 1851327472
  NPD (past) Authorized official

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760533137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13643 STATE HIGHWAY 150 S",
            "address_2": "PO BOX 427",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309752",
            "telephone_number": "307-789-9876",
            "fax_number": "307-789-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 FRONT ST",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829303577",
            "telephone_number": "307-789-3494",
            "fax_number": "307-789-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERG",
        "first_name": "HARRY",
        "middle_name": "WILLIAM CONRAD",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WY",
            "license": "2074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST CERTIFICATE NO",
            "identifier": "2074",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorena Ann Norton
• Mikale Natasha Nowak, NP
• Edmund Nowicki, MD
• Devin O'Harra
• Oasis Medical LLC
• Occupational Therapy Services
• Tiffanie Lynne Olsen
• Julie Alkire Olson
• Kevin Francis Omeara, M.D.
• Optimus Services, LLC

• Pharmacist in Evanston, WY
• Providers in Evanston, WY by specialty
• Pharmacist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.