Walter Oben

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

020364 Issued in KY

Practice address

200 Skywatch Dr
Danville, KY 40422-2540

Phone

(859) 236-0408

NPI assigned

Oct 21, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1912506981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 RABBITS FOOT TRL APT 7",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SKYWATCH DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222540",
            "telephone_number": "859-236-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBEN",
        "first_name": "WALTER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "020364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepa E. Nidhiry, M.D.
• Jordan M Noe, PA-C
• Thomas Nugent, MD
• Nurture Nest PLLC
• Nutrition 2 You
• One Way Gynecology LLC
• Osptky, LLC
• Anna Oster, RN
• David Scott Overstreet, M.D.
• Tonya Lynn Owens

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Danville, KY
• Providers in Danville, KY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.