Active NPI
David Alan Obermeyer, RPH
- Pharmacist
- Racine, WI
National Provider Identifier
1861772337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11730-40
- Practice address
- 4810 Washington Ave
Racine, WI 53406-4220 - Phone
- (262) 635-0181
- Fax
- (262) 635-1865
- NPI assigned
- Aug 27, 2011
- Last updated
- Aug 27, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 11730-40 | WI | Primary |
Addresses
Primary practice location
4810 Washington Ave
Racine, WI 53406-4220
Mailing address
4810 Washington Ave
Racine, WI 53406-4220
Phone (262) 635-0181
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11730-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1314403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314403200000",
"number": "1861772337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 WASHINGTON AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534064220",
"telephone_number": "262-635-0181",
"fax_number": "262-635-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 WASHINGTON AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534064220",
"telephone_number": "262-635-0181",
"fax_number": "262-635-1865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERMEYER",
"first_name": "DAVID",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-27",
"last_updated": "2011-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "11730-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Racine, WI
- Nvira Genetics LLC
- Maureen Elizabeth O'Brien, RN
- Cynthia Lynn O'Haver, R.N.
- Paula O'Leary, MA
- Oakhill Family Living Center LLC (Oakhill Family Living Center)
- Amanda Obernberger, RN
- Occupational Health Centers of the Southwest, P.a. (Concentra Medical Center)
- Richard Odders, MD
- Jay M Oksiuta, DDS
- Taylor Olivotti, M.S. CF-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.