MIKE OBENG (NPI# 1235737792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235737792 |
| Entity Type | Individual |
| Full Name | MIKE OBENG |
| Credential | PHARMD |
| Practice Address |
5960 Castleway West Dr Indianapolis IN 46250-1977 |
| Mailing Address |
5725 Chensford Dr Apt 2c Indianapolis IN 46226-1251 |
| Practice Telephone | 5743839206 |
| Mailing Telephone | 5743839206 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
26027298A | IN | Suppliers |
| Street Address |
5960 CASTLEWAY WEST DR |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-1977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972948909 | Leslie Ray | Pharmacist | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2013-05-03 |
| 1841836038 | Richard Paul Koomler | Pharmacist | 5960 Castleway West Dr, Indianapolis, IN 46250-1980 | 2019-11-21 |
| 1740826049 | Dustin Michael Roberts | Pharmacist | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2019-11-21 |
| 1598301103 | Patricia Ann Day | Pharmacist | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2019-11-19 |
| 1942846522 | Briauna Bragg | Pharmacist | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2019-11-19 |
| 1568976371 | Kathryn Hubbard | Pharmacist | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2017-12-01 |
| 1841665726 | Matthew Budi | Pharmacist | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2015-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427145630 | The Health and Hospital Corporation of Marion County | Pharmacy | 1050 Wishard Boulevard, Indianapolis, IN 46202 | 2006-10-07 |
| 1750856100 | Hillary Ann Mcnamee | Pharmacy | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2018-10-11 |
| 1467690867 | St Vincent Hospital & Health Care Center Inc | Pharmacy | 8414 Naab Rd, Indianapolis, IN 46260-1972 | 2009-01-23 |
| 1699912444 | St Vincent Hospital & Health Care Center Inc | Pharmacy | 8450 N Payne Rd, Indianapolis, IN 46268-6620 | 2009-01-15 |
| 1306948021 | Healthnet Inc | Pharmacy | 2340 E 10th St, Indianapolis, IN 46201-2008 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134217 | Dana M Graham | Pharmacy | 6297 W Foster Branch Dr, Pendleton, IN 46064-9214 | 2020-08-12 |
| 1063948206 | Indiana Micro Hospital, LLC | Pharmacy | 9460 E 146th St, Noblesville, IN 46060-4966 | 2017-05-09 |
| 1306210943 | B&b Holdings LLC | Pharmacy | 1326 N Coliseum Blvd, Fort Wayne, IN 46805-5526 | 2015-11-19 |
| 1245474782 | Purdue University | Pharmacy | 625 Harrison St, West Lafayette, IN 47907-2026 | 2009-04-28 |
| 1497995815 | Northshore Health Centers, Inc. | Pharmacy | 2490 Central Ave Ste B, Lake Station, IN 46405-2122 | 2009-02-25 |
| 1184736027 | Valparasio Professional Pharmacy, P.C. | Pharmacy | 2101 Roosevelt Rd, Valparaiso, IN 46383-2747 | 2006-08-31 |
| 1326603325 | Healthlinc, Inc | Pharmacy | 1001 Sturdy Rd, Valparaiso, IN 46383-4126 | 2019-05-06 |
| 1174187553 | The South Bend Clinic LLP | Pharmacy | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2019-05-01 |
| 1124459573 | St. Vincent Medical Group, Inc. | Pharmacy | 7408 W State Road 28, Suite 1, Elwood, IN 46036-8600 | 2013-12-11 |
| 1538484209 | Northshore Scottsdale Pharmacy | Pharmacy | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2010-04-06 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on MIKE OBENG.
| 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.