Individual provider Active NPI

Oby Godwin Uyanwune

  • Pharmacist
  • Hampton, GA
National Provider Identifier
1841576360
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH020593 Issued in GA
Practice address
695 Highway 3 N
Hampton, GA 30228-2832
Phone
(678) 782-7044
Fax
(678) 782-7046
NPI assigned
Oct 28, 2011
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH020593 GA Primary

Addresses

Primary practice location

695 Highway 3 N
Hampton, GA 30228-2832

Mailing address

1205 Jasmine Way
Hampton, GA 30228-6135
Phone (770) 477-6857

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

LicenseStateTypeSpecialty
RPH020593GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crwon Medical Inc. CurrentSince Sep 5, 2021 Accepting new patients
Walgreen Co PastSince Mar 13, 2022 Accepting new patients
Walgreen Co Past Accepting new patients

Locations

695 Highway 3 N
Hampton, GA 30228
Phone (678) 782-7044

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1841576360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 JASMINE WAY",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302286135",
            "telephone_number": "770-477-6857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 HIGHWAY 3 N",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302282832",
            "telephone_number": "678-782-7044",
            "fax_number": "678-782-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYANWUNE",
        "first_name": "OBY",
        "middle_name": "GODWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-28",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.