TRAVIS OBANNON (NPI# 1124491840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124491840 |
| Entity Type | Individual |
| Full Name | TRAVIS OBANNON |
| Credential | PHARM D. |
| Practice Address |
9820 Callabridge Ct Charlotte NC 28216-7669 |
| Mailing Address |
3547 Spencer St Charlotte NC 28205-1243 |
| Practice Telephone | 7043923131 |
| Mailing Telephone | 7572024926 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 24716 | NC | Pharmacy Service Providers |
| Street Address |
9820 CALLABRIDGE CT |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-7669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174540314 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 9820 Callabridge Ct, Charlotte, NC 28216-7669 | 2006-07-16 |
| 1619366507 | South Fork Optometric Associates, P.a. | Optometrist | 9820 Callabridge Ct, Charlotte, NC 28216-7669 | 2015-01-14 |
| 1285910786 | Maria Alejandra Faulk | Optometrist | 9820 Callabridge Ct, Charlotte, NC 28216-7669 | 2011-10-27 |
| 1952635278 | Willane A. Wylie, O.d. & Associates, P.a. | Optometrist | 9820 Callabridge Ct, Charlotte, NC 28216-7669 | 2009-09-21 |
| 1174747836 | Willane A. Wylie | Optometrist | 9820 Callabridge Ct, Charlotte, NC 28216-7669 | 2007-04-12 |
| 1366531238 | Wal-mart Stores East, Lp | Technician/Technologist | 9820 Callabridge Ct, Charlotte, NC 28216-7669 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1629688668 | Anu James | Pharmacist | 7005 Flying Scotsman Dr, Charlotte, NC 28213-5369 | 2020-08-05 |
| 1821608977 | Liza Carolina Schimmelfing | Pharmacist | 1300b East Blvd, Charlotte, NC 28203-5802 | 2020-08-04 |
| 1558986083 | Brooke Maag | Pharmacist | 12600 District South Dr Apt 2203, Charlotte, NC 28277-5209 | 2020-06-10 |
| 1508485707 | Mais Anis Humaideh | Pharmacist | 4521 Hamptonridge Dr Apt 207, Charlotte, NC 28210-1386 | 2020-04-09 |
| 1629603071 | Hind Al-bayati | Pharmacist | 9008 Woodbine Walk Rd Apt 7200, Charlotte, NC 28277-7004 | 2020-03-05 |
| 1659922219 | Dustin Thomas Roe | Pharmacist | 210 E Trade St Ste 186, Charlotte, NC 28202-2413 | 2019-09-25 |
| 1437718020 | Tiffany Kneuss | Pharmacist | 1021 Morehead Medical Dr Ste 70100, Charlotte, NC 28204-2990 | 2019-06-07 |
| 1104395029 | Christelle Pouani Kouemo | Pharmacist | 9816 Rocky Ford Club Rd, Charlotte, NC 28269-2860 | 2018-11-20 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on TRAVIS OBANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.