DANIELLE NICOLE BLACKBURN (NPI# 1336748862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336748862 |
| Entity Type | Individual |
| Full Name | DANIELLE NICOLE BLACKBURN |
| Credential | PHARMD |
| Practice Address |
2831 Highway 15 Fairbury NE 68352-1008 |
| Practice Telephone | 4027293755 |
| Mailing Telephone | 4027293755 |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 16858 | NE | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 66076 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225464282 | Danielle Blackburn | Counselor | 1300 N 17th Ave, Greeley, CO 80631-9584 | 2013-09-23 |
| Street Address |
2831 HIGHWAY 15 |
| City | FAIRBURY |
| State | NE |
| Zip Code | 68352-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881611986 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2831 Highway 15, Fairbury, NE 68352-1008 | 2006-07-16 |
| 1396259560 | Kayla Renee Specht | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-27 |
| 1710491394 | Michael Gude | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205908308 | Brenda S Rippe | Case Manager/Care Coordinator | 521 E Street, Fairbury, NE 68352 | 2006-11-14 |
| 1821015884 | Tatro Chiropractic PC | Chiropractor | 425 D St, Fairbury, NE 68352 | 2006-07-16 |
| 1013031178 | Prairie View Industries, Inc. | Durable Medical Equipment & Medical Supplies | 2620 Industrial Drive, Fairbury, NE 68352-0575 | 2007-03-16 |
| 1861435448 | Gary Lee Mitchell | Pharmacist | 2200 H St, Fairbury, NE 68352-1119 | 2006-06-13 |
| 1063050532 | Kensly N Williams | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2019-12-16 |
| 1285141135 | Tyler Maguire | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2018-01-01 |
| 1245747179 | Kelsey Rae Maguire | Physician Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2017-12-31 |
| 1053796177 | Nichole Schlake | Physical Therapist | 2200 H St, Fairbury, NE 68352-1119 | 2015-07-30 |
| 1275926792 | Kahla Chrisman | Physical Therapy Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2015-03-09 |
| 1821429135 | Matthew James Johnson | Physical Therapy Assistant | 2200 H St, Fairbury, NE 68352-1119 | 2013-12-12 |
| Find all providers in zip 68352 | ||||
| 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 |
|---|---|---|---|---|
| 1861435448 | Gary Lee Mitchell | Pharmacist | 2200 H St, Fairbury, NE 68352-1119 | 2006-06-13 |
| 1396259560 | Kayla Renee Specht | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-27 |
| 1710491394 | Michael Gude | Pharmacist | 2831 Highway 15, Fairbury, NE 68352-1008 | 2017-11-19 |
| 1659704740 | Julie Patten | Pharmacist | 902 E Oak St, Fairbury, IL 61739-1390 | 2013-08-13 |
| 1689830721 | Melissa A Eshleman | Pharmacist | 902 E Oak St, Fairbury, IL 61739-1390 | 2008-07-29 |
| 1407047053 | Megan Renee Larkins | Pharmacist | 2200 H St, Fairbury, NE 68352-1119 | 2007-08-08 |
| 1356385322 | Dennis L. Russell | Pharmacist | 2200 H St, Fairbury, NE 68352-1119 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365249 | Kenneth Fuchtman | Pharmacist | 4969 S 174th Ave, Omaha, NE 68135-3463 | 2020-10-30 |
| 1073120796 | Derek Eugene Popken | Pharmacist | Nebraska Medicine, 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2020-09-27 |
| 1427666767 | Eric Donald Schlegel | Pharmacist | 350 W 23rd St Ste E, Fremont, NE 68025-2592 | 2020-07-22 |
| 1184242950 | Adam Lee Goetz | Pharmacist | 225 S Bluff Str, Winnebago, NE 68071 | 2020-07-08 |
| 1073149688 | Anton Anderson | Pharmacist | 1301 W Norfolk Ave, Norfolk, NE 68701-4833 | 2020-03-14 |
| 1003441874 | Riddhi Prakashbhai | Pharmacist | 4578 S 60th St, Omaha, NE 68117-1217 | 2020-03-11 |
| 1871128199 | Kamy Niemeyer | Pharmacist | 5611 S 27th St, Lincoln, NE 68512-1613 | 2020-03-06 |
| 1083249569 | Katrina Johanna Keebler | Pharmacist | 8315 W Center Rd, Omaha, NE 68124-3111 | 2020-03-05 |
| 1235761982 | Amanda Scholtes | Pharmacist | 1005 Roland Dr, Papillion, NE 68046-6166 | 2020-02-11 |
| 1578103644 | Nathan L Suck | Pharmacist | 2115 S 61st St, Omaha, NE 68106-2129 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
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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.