DR. JAMES EDWARD BLACKBURN JR. (NPI# 1710230230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710230230 |
| Entity Type | Individual |
| Full Name | DR. JAMES EDWARD BLACKBURN JR. |
| Practice Address |
830 W Broadway Ave Jackson WY 83001-8647 |
| Mailing Address |
Po Box 7677 Jackson WY 83002-7677 |
| Practice Telephone | 3077336222 |
| Mailing Telephone | 5408096348 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3585 | WY | Pharmacy Service Providers |
| 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 |
| 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 |
| 1033748413 | James Kevin Blackburn | Pharmacist | 4301 Lyons Rd, Miamisburg, OH 45342-6446 | 2020-04-07 |
| 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 |
830 W BROADWAY AVE |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| 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 |
|---|---|---|---|---|
| 1841890662 | Angela Shawn Bradley | Pharmacist | 1589 Ky Hwy 15 South, Jackson, KY 41339 | 2020-10-30 |
| 1871191734 | Ranita Greer | Pharmacist | 59 Ky-15 N, Jackson, KY 41339 | 2020-10-13 |
| 1790398287 | Haleema Saadia | Pharmacist | 3144 North Avenue, Jackson, TN 38305-0100 | 2020-08-25 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1124645965 | Archis B Patel | Pharmacist | 6 Moet Ct, Jackson, NJ 08527-3090 | 2020-06-27 |
| 1417579798 | Alvin Ray Stewart Sr. | Pharmacist | 696 Cedar Springs Dr, Jackson, MS 39212-5710 | 2020-05-10 |
| 1033731492 | Jamie Hines Mckinley | Pharmacist | 1500 E Woodrow Wilson Ave Dept 119-a, Jackson, MS 39216-5116 | 2020-05-08 |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1770130650 | Elizabeth Hearn | Pharmacist | 1345 Simwood Pl, Jackson, MS 39211-6352 | 2019-08-24 |
| 1306493929 | Stephen Benjamin Porter | Pharmacist | 350 W Woodrow Wilson Ave Rm Me101-42, Jackson, MS 39213-7681 | 2019-08-19 |
| Find all providers in JACKSON | ||||
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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.