MR. EUGENE C BLACKWELL JR.


Address: 21351 Georgetown Rd, Frankfort, IL 60423-3008
Phone: 8154640524

MR. EUGENE C BLACKWELL JR. (NPI# 1245509306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245509306
Entity Type Individual
Full Name MR. EUGENE C BLACKWELL JR.
Practice Address 21351 Georgetown Rd
Frankfort
IL 60423-3008
Practice Telephone 8154640524
Mailing Telephone 8154640524
Enumeration Date 2011-12-19
Last Update Date 2011-12-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051033017 IL Pharmacy Service Providers

Office Location

Street Address 21351 GEORGETOWN RD
City FRANKFORT
State IL
Zip Code 60423-3008

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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508411596 Rachel Elizabeth Ader Pharmacist 359 W Walnut St, Frankfort, IN 46041-2368 2019-08-06
1639667868 Missy Luann Mobley Pharmacist 1300 S Jackson Street, Frankfort, IN 46041 2018-04-24
1346796265 Ann Beverly Pharmacist 1300 Us 27 South, Frankfort, KY 40601 2016-08-31
1992152623 Kelly Matchen Pharmacist 21164 S La Grange Rd, Frankfort, IL 60423-2010 2016-05-23
1396111852 Jordan Marlee Legrett Pharmacist 21152 N Lagrange Rd, Frankfort, IL 60423-2010 2015-08-18
1255777991 William Joseph Muhr Pharmacist 21152 S Lagrange Rd, Frankfort, IL 60423-2010 2013-05-21
1124372024 Nick Rizzo Pharmacist 550 Illinois Rd, Frankfort, IL 60423-1055 2012-10-31
1710254990 Niraj Gandhi Pharmacist 19965 S Lagrange Rd, Frankfort, IL 60423-3105 2011-11-16
1871876631 Rebecca Susanne Matthews Pharmacist 766 Tanglewood Ct N, Frankfort, IL 60423-1041 2011-09-27
1598087769 Rosemary Anderson Pharmacist 1300 Us Highway 127 S, Frankfort, KY 40601-4395 2010-02-15
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Competitor

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City FRANKFORT
Zip Code 60423

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Dataset Information

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.

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