DR. NICHOLAS WAYNE BLACKWELL (NPI# 1689280505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689280505 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS WAYNE BLACKWELL |
| Credential | RPH. PHARM. D. |
| Practice Address |
400 W 2nd St Hearne TX 77859-2566 |
| Practice Telephone | 9794922404 |
| Practice Fax Number | 9792793374 |
| Mailing Telephone | 9794922404 |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
58974 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466137 | Nicholas Coleman Blackwell | Pharmacist | 10991 San Jose Blvd Ste 1, Jacksonville, FL 32223-6600 | 2020-11-01 |
| Street Address |
400 W 2ND ST |
| City | HEARNE |
| State | TX |
| Zip Code | 77859-2566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962501288 | Brookshire Brothers Inc | Pharmacy | 400 W 2nd St, Hearne, TX 77859-2566 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264909 | Vs Servant Hearts Home Care Service LLC | Hospice Care, Community Based | 114 S Magnolia St, Hearne, TX 77859 | 2020-08-10 |
| 1003373838 | Donna Ohde | Nurse Practitioner | 709 Barton St, Hearne, TX 77859 | 2019-02-28 |
| 1033751193 | Dianne Gradington | Counselor | 1306 Crennan Ln, Hearne, TX 77859-2034 | 2019-10-10 |
| 1194296236 | Shirilyn Monique Dykes | Specialist | 2063 Crennan Ln Ste C, Hearne, TX 77859-2094 | 2018-12-16 |
| 1154617124 | Jessica Marian Jentsch | Physical Therapy Assistant | 105 W 3rd St, Hearne, TX 77859-2501 | 2011-06-28 |
| 1285969550 | Christopher Ronald Peoples | Pharmacist | 118 W 4th St, Hearne, TX 77859-2506 | 2009-10-05 |
| 1114932738 | Laa Drug LLC | Pharmacy | 118 W 4th St, Hearne, TX 77859-2506 | 2006-07-30 |
| 1699339218 | Hearne Family Dentistry | Dentist | 202 W 4th St, Hearne, TX 77859-2508 | 2019-04-29 |
| 1861653396 | Renal Treatment Centers Southeast Lp | Clinic/Center | 106 Cedar St, Hearne, TX 77859-2523 | 2008-06-18 |
| 1609092980 | Steven Marc Catalina | Chiropractor | 104 S Magnolia St, Hearne, TX 77859-2565 | 2007-04-17 |
| Find all providers in zip 77859 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453147 | Kaden Del Ridley | Pharmacist | 1300 S Coulter St Ste 203, Amarillo, TX 79106-1712 | 2020-09-25 |
| 1275143968 | Kristen M. Clancy | Pharmacist | 9723 Charter Ridge Dr, Houston, TX 77070-1907 | 2020-08-06 |
| 1235778887 | Kimberly Kay Lane | Pharmacist | 200 Saddletree Rd, Shavano Park, TX 78231-1543 | 2019-12-30 |
| 1427601319 | Ruth S Smith | Pharmacist | 5807 Sw 45th Ave, Amarillo, TX 79109-5205 | 2019-07-19 |
| 1205489283 | Sharon Maria Mathew | Pharmacist | 1201 E 93rd Street, Bonham, TX 75418 | 2019-07-19 |
| 1750940664 | Anne-cecile Mingle | Pharmacist | 209 N Water St, Corpus Christi, TX 78401-2528 | 2019-06-13 |
| 1194217919 | Thanh Ngoc Phan | Pharmacist | 927 E Shaw, Pasadena, TX 77506 | 2018-06-06 |
| 1982192274 | Toni Danielle Smith | Pharmacist | 3232 Great Trinity Forest Way Ste 102a, Dallas, TX 75216 | 2018-04-23 |
| 1467964809 | Telfia Yvette Muckeroy | Pharmacist | 5787 S Hampton Rd # 230b, Dallas, TX 75232-2255 | 2017-10-25 |
| 1164944013 | Lizette Bunn | Pharmacist | 4647 Medical Dr # Ms 102-1, San Antonio, TX 78229-4403 | 2017-07-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. NICHOLAS WAYNE BLACKWELL.
| 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.