Active NPI
Sonja Lynn Obryan, PHARM D
- Pharmacist
- Bolivar, MO
National Provider Identifier
1972749794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 044221
- Practice address
- 1885 E Thornridge Dr
Bolivar, MO 65613-1283 - Phone
- (417) 326-2524
- NPI assigned
- Dec 29, 2008
- Last updated
- Dec 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 044221 | MO | Primary |
Addresses
Primary practice location
1885 E Thornridge Dr
Bolivar, MO 65613-1283
Mailing address
1885 E Thornridge Dr
Bolivar, MO 65613-1283
Phone (417) 326-2524
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044221 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230508800000",
"number": "1972749794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 E THORNRIDGE DR",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656131283",
"telephone_number": "417-326-2524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 E THORNRIDGE DR",
"city": "BOLIVAR",
"state": "MO",
"postal_code": "656131283",
"telephone_number": "417-326-2524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBRYAN",
"first_name": "SONJA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-29",
"last_updated": "2008-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "044221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolivar, MO
- Nurses & Company Hospice, LLC (St Croix Hospice)
- Richard Lane Nutt, O.D.
- Leigh A O'Connor, PA-C
- Oakland Emergency Group LLC
- Oasis Counseling and Education, LLC
- Janet Amoakoah Ofori-Yeboah, NP-C
- Angela Suzzanne Olomon, DO, FACN
- Orchard Eye Clinic LLC (Orchard Eye Clinic)
- Christina Otterness, DO
- Mindy Quarles Owens, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.