DR. DEANNA INEZ BLAKE (NPI# 1144557646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144557646 |
| Entity Type | Individual |
| Full Name | DR. DEANNA INEZ BLAKE |
| Credential | PHARMD |
| Practice Address |
200 N Bragg Blvd Spring Lake NC 28390-3350 |
| Mailing Address |
355 Arbor Crest Ln Lillington NC 27546-7196 |
| Practice Telephone | 9104360471 |
| Practice Fax Number | 9104363647 |
| Mailing Telephone | 9108934547 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 18726 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871127241 | Deanna Lynn Blake | Behavior Technician | 12443 Lewis St Ste 201, Garden Grove, CA 92840-4650 | 2020-02-25 |
| Street Address |
200 N BRAGG BLVD |
| City | SPRING LAKE |
| State | NC |
| Zip Code | 28390-3350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780820209 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 N Bragg Blvd, Spring Lake, NC 28390-3350 | 2009-01-06 |
| 1861730194 | Megan Palmier | Pharmacist | 200 N Bragg Blvd, Spring Lake, NC 28390-3350 | 2013-01-21 |
| 1245512615 | Stella C Nebolisa | Pharmacist | 200 N Bragg Blvd, Spring Lake, NC 28390-3350 | 2011-09-12 |
| 1144555004 | Nitinchandra Prabhudas Avlani | Pharmacist | 200 N Bragg Blvd, Spring Lake, NC 28390-3350 | 2009-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296208 | Morgan Lubawski | Behavior Technician | 1018 N Bragg Blvd Suite A, Spring Lake, NC 28390 | 2019-10-14 |
| 1285281451 | Cassandra Lynetta Burney | Nurse Practitioner | 104 Lake Ave, Spring Lake, Nc 28390, Spring Lake, NC 28390 | 2019-08-22 |
| 1861956500 | Victoria Denise Bland | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390 | 2019-01-28 |
| 1184102584 | Gregory Scott Seese | Psychologist | 1212 Micahs Way N, Spring Lake, NC 28390 | 2018-07-30 |
| 1174034052 | Danielle Nicole Lord | Specialist | 401 Lillington Hwy N 210, Spring Lake, NC 28390 | 2017-10-18 |
| 1205372588 | Interventional Pain Center, Pllc | Anesthesiology | 517 B Hwy 210 N, Spring Lake, NC 28390 | 2017-01-11 |
| 1699210690 | Rhea Lorena Jimenez | Nurse Practitioner | 517b Hwy 210 N, Spring Lake, NC 28390 | 2016-12-29 |
| 1841641883 | Parise Exquisite | Prosthetic/Orthotic Supplier | 401 Nc-210, Spring Lake, NC 28390 | 2016-06-30 |
| 1083037444 | Dr. Vincent Vissichelli & Associates, D.m.d., P.a. | Dentist | 2980 Ray Road, Spring Lake, NC 28390 | 2014-01-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| Find all providers in zip 28390 | ||||
| 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 |
|---|---|---|---|---|
| 1508317108 | Carlie Schuttinger | Pharmacist | 2006 Rte 35, Spring Lake, NJ 07762-2543 | 2016-10-18 |
| 1043662604 | Amber Patwell | Pharmacist | 216 Edgecombe Dr, Spring Lake, NC 28390-9160 | 2016-07-07 |
| 1992043343 | Hewis Bartels | Pharmacist | 506 Orchard Falls Dr, Spring Lake, NC 28390-7072 | 2013-01-18 |
| 1992065270 | Jeffrey W. Hill | Pharmacist | 2006 Highway 35, Spring Lake, NJ 07762-2543 | 2012-05-21 |
| 1376820761 | Jamie Gilles | Pharmacist | 512 Villag Lake Court Apt # 201, Spring Lake, NC 28390 | 2011-11-14 |
| 1801064423 | Kim Ann Moore | Pharmacist | 2006 Hwy 35, Spring Lake, NJ 07762-2543 | 2008-02-17 |
| 1730304130 | Phillip Allen Morse | Pharmacist | 603 E Savidge, Spring Lake, MI 49456 | 2007-04-13 |
| 1821125592 | Patrick Scott Karwowski | Pharmacist | 603 E Savidge St, Spring Lake, MI 49456 | 2007-02-28 |
| 1386797264 | Angela Lynn Fipps-white | Pharmacist | 6779 Overhills Road, Spring Lake, NC 28390-8873 | 2007-01-22 |
| 1205814324 | Susan J Wright | Pharmacist | 17717 174th St, Spring Lake, MI 49456 | 2006-01-09 |
| Find all providers in SPRING LAKE | ||||
| City | SPRING LAKE |
| Zip Code | 28390 |
Please comment or provide details below to improve the information on DR. DEANNA INEZ BLAKE.
| 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.