KELLEY JO BLOCKER (NPI# 1164710190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164710190 |
| Entity Type | Individual |
| Full Name | KELLEY JO BLOCKER |
| Credential | PHARM D |
| Practice Address |
801 N Main St Mt Pleasant TN 38474-1017 |
| Mailing Address |
801 N. Main St Mt. Pleasant TN 38474 |
| Practice Telephone | 9313795000 |
| Practice Fax Number | 9313794276 |
| Mailing Telephone | 9313795000 |
| Mailing Fax Number | 9313794276 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11224 | TN | Pharmacy Service Providers |
| Street Address |
801 N MAIN ST |
| City | MT PLEASANT |
| State | TN |
| Zip Code | 38474-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174048268 | Walgreen Co | Pharmacy | 801 N Main St, Mt Pleasant, TN 38474-1017 | 2017-08-09 |
| 1811204134 | James Quinton Dickerson Iv | Pharmacist | 801 N Main St, Mt Pleasant, TN 38474-1017 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750891677 | Diabetes Management Associates | Registered Nurse | 401 First Avenue, Mt. Pleasant, TN 38474 | 2017-10-05 |
| 1124107354 | Tadd T Thompson | Family Medicine | 4955 D Hwy 43 North, Mount Pleasant, TN 38474 | 2006-11-06 |
| 1275611600 | Delia Fernandez | Dentist | 703 N. Main St., Mt. Pleasant, TN 38474 | 2006-11-02 |
| 1659485183 | Charles Vance Hendrickson | Dentist | 703 N Main St, Mt Pleasant, TN 38474 | 2006-08-19 |
| 1225246630 | Carolyns Transportation | Non-emergency Medical Transport (VAN) | 108 Iris Dr, Mt Pleasant, TN 38474-1009 | 2007-05-18 |
| 1902909385 | Michael L Tyler | Dentist | 703 North Main Street, Mt Pleasant, TN 38474-1015 | 2006-09-07 |
| 1083181531 | Michael L. Tyler Dds | Clinic/Center | 703 N Main St, Mt Pleasant, TN 38474-1015 | 2018-11-01 |
| 1235619271 | Lynn Ruch | Physical Therapist | 815 N Main St, Mt Pleasant, TN 38474-1017 | 2018-08-20 |
| 1235639584 | Fast Pace Medical Clinic, Pllc | Family Medicine | 811 N Main St, Mt Pleasant, TN 38474-1017 | 2018-02-13 |
| 1952796575 | Mary Houston Hull | Registered Nurse | 811 N Main St, Mount Pleasant, TN 38474-1017 | 2015-03-31 |
| Find all providers in zip 38474 | ||||
| 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 |
|---|---|---|---|---|
| 1902406143 | Cynthia Marie Long | Pharmacist | 2100 Summit Ridge Plz Ste 1, Mt Pleasant, PA 15666-9199 | 2020-10-27 |
| 1851924138 | Karen A Hixson | Pharmacist | 1306 S Mission St, Mt Pleasant, MI 48858-4208 | 2020-02-14 |
| 1154977007 | Fiona Katherine Connolly | Pharmacist | 120 Country Side Plz, Mt Pleasant, PA 15666-1816 | 2019-08-16 |
| 1497226633 | Michael Kinzer | Pharmacist | 103 Public Sq, Mt Pleasant, TN 38474-1625 | 2018-12-16 |
| 1265823017 | William R Clair Iv | Pharmacist | 1128 Audubon Pl, Mt Pleasant, SC 29464-9033 | 2015-02-16 |
| 1215337134 | Michael O'brien | Pharmacist | 360 Stonewall Ct, Mt Pleasant, SC 29464-7988 | 2014-08-27 |
| 1861812919 | Charles Hunter | Pharmacist | 430 Channel Creek Ct, Mt Pleasant, SC 29464-8120 | 2014-04-16 |
| 1164767729 | Brett C Fallaw | Pharmacist | 1000 Johnnie Dodds Blvd Ste 106, Publix Pharmacy, Mt Pleasant, SC 29464-3187 | 2012-12-06 |
| 1508115064 | Dawn Michelle Devine | Pharmacist | 620 Long Pointe Rd, Suite H, Suite 201, Mt Pleasant, SC 29464 | 2012-08-30 |
| 1154693422 | Sharon Kay French | Pharmacist | 314 Cedar St, Mt Pleasant, TX 75455-5912 | 2012-02-02 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 38474 |
Please comment or provide details below to improve the information on KELLEY JO BLOCKER.
| 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.