Active NPI
Frankline Takunaw Oben
- Pharmacist
- Waldorf, MD
National Provider Identifier
1770183402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22638
- Practice address
- 11930 Acton LN
Waldorf, MD 20601-3689 - Phone
- (301) 705-7040
- Fax
- (301) 705-7945
- NPI assigned
- Oct 30, 2020
- 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 | 22638 | MD | Primary |
Addresses
Primary practice location
11930 Acton LN
Waldorf, MD 20601-3689
Mailing address
304 Radiant CT
Upper Marlboro, MD 20774-8847
Phone (240) 418-6710
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22638 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604016000000",
"number": "1770183402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 RADIANT CT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207748847",
"telephone_number": "240-418-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11930 ACTON LN",
"city": "WALDORF",
"state": "MD",
"postal_code": "206013689",
"telephone_number": "301-705-7040",
"fax_number": "301-705-7945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBEN",
"first_name": "FRANKLINE",
"middle_name": "TAKUNAW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-30",
"last_updated": "2020-10-30",
"certification_date": "2020-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "22638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.