Active NPI
Oben Pharmacy Group LLC
Doing business as GoldStar Long Term Care
- Long Term Care Pharmacy
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 31590
- Legal business name
- OBEN PHARMACY GROUP LLC
- Doing business as
- GoldStar Long Term Care
- Practice address
- 4500 Carter Creek Pkwy Ste 202
Bryan, TX 77802-4494 - Phone
- (844) 465-3582
- Fax
- (855) 201-8501
- NPI assigned
- Feb 6, 2017
- Last updated
- Sep 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bessem Oben
- Title
- Pharmacy Manager
- Phone
- (832) 235-0807
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Long Term Care Pharmacy | 3336L0003X | 31590 | TX | Primary |
Addresses
Primary practice location
4500 Carter Creek Pkwy Ste 202
Bryan, TX 77802-4494
Mailing address
4500 Carter Creek Pkwy
Suite 203
Bryan, TX 77802-4494
Phone (844) 465-3582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2172246 | Other | PK |
Other names 1
- GoldStar Long Term Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160818001127 | TX | Part B Supplier - Pharmacy | 3870888605 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bryan, TX; College Station, TX |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
4500 Carter Creek Pkwy
Ste 202
Bryan, TX 77802
Phone (844) 465-3582
4500 Carter Creek Pkwy
Ste 203
Bryan, TX 77802
4421 State Highway 6 S
Ste 300
College Station, TX 77845
Phone (979) 330-5216
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Bryan, TX
- NPI 1417770066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758240000000",
"number": "1952849309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 CARTER CREEK PKWY",
"address_2": "SUITE 203",
"city": "BRYAN",
"state": "TX",
"postal_code": "778024494",
"telephone_number": "844-465-3582",
"fax_number": "855-201-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 CARTER CREEK PKWY STE 202",
"city": "BRYAN",
"state": "TX",
"postal_code": "778024494",
"telephone_number": "844-465-3582",
"fax_number": "855-201-8501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OBEN PHARMACY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-06",
"last_updated": "2025-09-19",
"status": "A",
"authorized_official_last_name": "OBEN",
"authorized_official_first_name": "BESSEM",
"authorized_official_title_or_position": "PHARMACY MANAGER",
"authorized_official_telephone_number": "832-235-0807"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "TX",
"license": "31590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2172246",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GoldStar Long Term Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GoldStar Long Term Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bryan, TX
- Justin A O'Neal
- Oaks Chiropractic, PLLC (Stephenson Chiropractic Center)
- Oaks Medical Center PLLC
- Oakwood Counseling, P.L.L.C.
- OB/GYN Center Benson
- Bessem Oben, PHARMD
- Chizoba C. Obi, MD
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Sandra Oden
- Odyssey Healthcare Operating a LP (Odyssey HealthCare of Bryan College Station)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.