Individual provider Active NPI

Eric Obeng

  • Pharmacist
  • Columbus, OH
National Provider Identifier
1942854005
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03327041 Issued in OH
Practice address
2575 S Hamilton Rd
Columbus, OH 43232-4964
Phone
(614) 547-0707
NPI assigned
Jul 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03327041 OH Primary

Addresses

Primary practice location

2575 S Hamilton Rd
Columbus, OH 43232-4964

Mailing address

208 Emerald Ice Loop
Delaware, OH 43015-5086
Phone (614) 209-6253

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ricobeng@gmail.com Health Information Exchange (HIE)

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
03327041OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cresthaven Medical Supply LLC Current Accepting new patients
Royal Pharmacy Inc CurrentSince Aug 6, 2019 Accepting new patients

Locations

2575 S Hamilton Rd
Columbus, OH 43232
Phone (614) 547-0707

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1942854005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 EMERALD ICE LOOP",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430155086",
            "telephone_number": "614-209-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 S HAMILTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324964",
            "telephone_number": "614-547-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENG",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03327041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ricobeng@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2575 S Hamilton Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432324964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2019; 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.