JACK BLITZ


Address: 101 W Ehringhaus St, Elizabeth City, NC 27909-4921
Phone: 2523383933

JACK BLITZ (NPI# 1851641021) 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) 1851641021
Entity Type Individual
Full Name JACK BLITZ
Practice Address 101 W Ehringhaus St
Elizabeth City
NC 27909-4921
Mailing Address 101 West Ehringhaus St.
Elizabeth City
NC 27909
Practice Telephone 2523383933
Practice Fax Number 2523381760
Enumeration Date 2012-09-14
Last Update Date 2012-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 8492 NC Pharmacy Service Providers

Office Location

Street Address 101 W EHRINGHAUS ST
City ELIZABETH CITY
State NC
Zip Code 27909-4921

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740383439 North Carolina Cvs Pharmacy LLC Pharmacy 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2006-09-07
1861046443 Christina Lynn Lassetter Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2019-07-31
1437585908 Carlesha Dorsey Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2013-09-17
1407289952 Kiera Johnson Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2013-08-19
1427301498 Courtney Williams Jennings Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2012-10-16
1225321730 Katherine Serzan Copeland Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2011-05-17
1588972038 Donald Brent Richardson Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2010-09-17
1578871489 Jill Elizabeth Grutza Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2010-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407482177 Leslie Treherne-fayton Dds Pllc Dentist 3875 Conlon Way Ste A, Elizabeth City, NC 27909 2020-03-13
1053829077 Kaitlyn Daniels Counselor 1825 West City Drive, Suites A&b, Elizabeth City, NC 27909 2018-01-11
1487183778 Traniqua Mccullen Social Worker 314 Orchard Drive, Elizabeth City, NC 27909 2017-06-08
1760938401 Lauren Noele Schaefer Physical Therapist 615 S Hughes Boulevard, Unit B, Elizabeth City, NC 27909 2016-09-01
1588023279 Regina Mccoy Nurse Practitioner 1507 N Road St Ste 3, Elizabeth City, NC 27909 2016-02-23
1750753760 Mark C. ''chris'' Patterson Physician Assistant Coast Guard Base Elizabeth City, 1664 Weeksville Road, Building 128, Elizabeth City, NC 27909 2015-10-29
1770963365 Harlan Bradley Hurdle Pharmacist 104 Breezewood Drive, Elizabeth City, NC 27909 2015-06-09
1558779298 Wilkiam Wilson Counselor 1290 Halstead Blvd, Elizabeth City, NC 27909 2014-07-25
1871919886 Courtney Bunch Specialist/Technologist 1680 Cedar Point Circle, Elizabeth City, NC 27909 2014-03-14
1790100832 The Power of U Community/Behavioral Health 1023 Us17s Suite 1, Elizabeth City, NC 27909 2014-02-26
Find all providers in zip 27909

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
1770963365 Harlan Bradley Hurdle Pharmacist 104 Breezewood Drive, Elizabeth City, NC 27909 2015-06-09
1811325426 Anthony Emekalam Pharmacist 1418 Brothers Dr, Elizabeth City, NC 27909-6644 2013-10-16
1225121825 Jennifer Price Burgess Pharmacist 1144 North Road St, Albemarle Hospital Pharmacy, Elizabeth City, NC 27909 2006-10-02
1619940186 April Ayers Smith Pharmacist Albemarle Hospital Pharmacy, 1144 North Road Street, Elizabeth City, NC 27909-3353 2006-02-07
1861038853 Emily Jane Walker Pharmacist 101 Tanglewood Pkwy N, Elizabeth City, NC 27909-7788 2019-11-25
1861046443 Christina Lynn Lassetter Pharmacist 101 W Ehringhaus St, Elizabeth City, NC 27909-4921 2019-07-31
1417435223 Devin Waine Barlowe Pharmacist 101 Tanglewood Pkwy N, Elizabeth City, NC 27909-7788 2018-08-02
1750877817 Charlotte Lightell Pharmacist 683 S Hughes Blvd, Elizabeth City, NC 27909-4530 2018-07-02
1992223374 Breanne Williams Scribner Pharmacist 207 S Poindexter St, Elizabeth City, NC 27909-4834 2017-09-06
1417488594 Mary Mullis March Pharmacist 101 Tanglewood Pkwy N, Walmart Pharmacy, Elizabeth City, NC 27909-7788 2017-03-21
Find all providers in ELIZABETH CITY

Competitor

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City ELIZABETH CITY
Zip Code 27909

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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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