JAMES KEVIN BLACKBURN (NPI# 1033748413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033748413 |
| Entity Type | Individual |
| Full Name | JAMES KEVIN BLACKBURN |
| Credential | RPH |
| Practice Address |
4301 Lyons Rd Miamisburg OH 45342-6446 |
| Mailing Address |
3104 Seton Hill Dr Bellbrook OH 45305-8767 |
| Practice Telephone | 9374584932 |
| Practice Fax Number | 9375227394 |
| Mailing Telephone | 9373447019 |
| Mailing Fax Number | 9375227394 |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03120530 | OH | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PHARMACIST | 03120530 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518337435 | James David Blackburn X | General Practice | 19499 State Highway 49, Jefferson, TX 75657-5251 | 2015-10-05 |
| 1437579158 | James Blackburn | Dentist | 5215 Fm 1463, 700, Katy, TX 77494 | 2014-04-21 |
| 1710230230 | James Edward Blackburn Jr. | Pharmacist | 830 W Broadway Ave, Jackson, WY 83001-8647 | 2012-10-22 |
| 1376543553 | James Allen Blackburn | Physician Assistant | 450 Medical Center Blvd, Suite 201, Webster, TX 77598 | 2005-07-28 |
| 1952306284 | James H Blackburn II | Specialist | 2500 Squalicum Pkwy Bldg 102, Bellingham, WA 98225-1856 | 2005-06-14 |
| 1770994147 | James Allen Blackburn | Marriage & Family Therapist | 5750 Sunrise Blvd, Citrus Heights, CA 95610-7634 | 2014-05-19 |
| 1255623781 | James Rex Blackburn | Social Worker | 1740 E 17th St, Idaho Falls, ID 83404-6375 | 2011-05-02 |
| 1831492859 | James Howard Blackburn | Internal Medicine | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2010-12-14 |
| 1417090903 | James William Blackburn | Dentist | 1449 Kimber Lane, Suite 103a, Evansville, IN 47715-4086 | 2007-02-14 |
| 1265428551 | James H. Blackburn | Psychiatry & Neurology | 913 S College Rd, Suite 102, Lafayette, LA 70503-3060 | 2005-09-22 |
| Street Address |
4301 LYONS RD |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-6446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205005063 | Kettering Medical Center | Pharmacy | 4301 Lyons Rd, Miamisburg, OH 45342 | 2008-02-26 |
| 1477807642 | Heather Anne Glenn | Pharmacist | 4301 Lyons Rd, Miamisburg, OH 45342-6446 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| 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 |
|---|---|---|---|---|
| 1740890045 | Manpreet Rangi | Pharmacist | 9465 Eastbrook Dr, Miamisburg, OH 45342-7867 | 2020-08-03 |
| 1053728444 | Vincent Wu | Pharmacist | 9440 Arboridge Ln, Miamisburg, OH 45342-5218 | 2014-07-17 |
| 1861022261 | Stephanie Wuellner | Pharmacist | 4000 Miamisburg-centerville Rd, Miamisburg, OH 45342 | 2020-01-24 |
| 1669956637 | Franziska Pippig | Pharmacist | 10050 Innovation Dr, Miamisburg, OH 45342-4931 | 2018-09-17 |
| 1568854941 | Susan Roush | Pharmacist | 10101 Landing Way, Miamisburg, OH 45342-1159 | 2015-02-23 |
| 1336531722 | Joel David Aylor | Pharmacist | 10101 Landing Way, Miamisburg, OH 45342-1159 | 2015-02-23 |
| 1477945947 | Jeanne Gossel | Pharmacist | 10101 Landing Way, Miamisburg, OH 45342-1159 | 2015-02-20 |
| 1124469952 | Dan Bramy | Pharmacist | 1260 E Central Ave, Miamisburg, OH 45342-3546 | 2013-07-09 |
| 1477807642 | Heather Anne Glenn | Pharmacist | 4301 Lyons Rd, Miamisburg, OH 45342-6446 | 2012-11-09 |
| 1003185794 | Maya Patel | Pharmacist | 1260 E Central Ave, Miamisburg, OH 45342-3546 | 2011-12-25 |
| Find all providers in MIAMISBURG | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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| 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.