DR. CHARLES D BLACKWELL (NPI# 1245457373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245457373 |
| Entity Type | Individual |
| Full Name | DR. CHARLES D BLACKWELL |
| Credential | PHARM. D. |
| Practice Address |
6204 Balcones Dr Austin TX 78731-4214 |
| Mailing Address |
10225 Matoca Way Austin TX 78726-1379 |
| Practice Telephone | 5124279448 |
| Practice Fax Number | 5123023928 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 38519 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508203225 | Charles Robert Blackwell | General Practice | Cmr 411 Box 1532, Apo, AE 09112-0016 | 2013-06-04 |
| 1508165697 | Charles William Blackwell | Pharmacist | 12216 N Nc Highway 150, Winston Salem, NC 27127-9730 | 2011-03-15 |
| 1750492856 | Charles D Blackwell IIi | Emergency Medicine | 2525 Chicago Avenue South, Childrens Hospitals and Clinics Emergency Physicians Mp, Minneapolis, MN 55404 | 2006-08-31 |
| Street Address |
6204 BALCONES DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326019571 | Kimberly M Brown | Surgery | 6204 Balcones Dr, Austin, TX 78731-4214 | 2006-01-27 |
| 1790338010 | Camille Fisher | Genetic Counselor, MS | 6204 Balcones Dr, Austin, TX 78731-4214 | 2019-07-17 |
| 1972918019 | Elizabeth Gorrick | Physician Assistant | 6204 Balcones Dr, Austin, TX 78731-4214 | 2014-06-27 |
| 1568722312 | Priyanka Kamath | Obstetrics & Gynecology | 6204 Balcones Dr, Austin, TX 78731-4214 | 2012-05-25 |
| 1699044099 | Gayle Simpson Patel | Genetic Counselor, MS | 6204 Balcones Dr, Austin, TX 78731-4214 | 2011-12-14 |
| 1073897096 | Svetlana Zolotukhina | Nurse Practitioner | 6204 Balcones Dr, Austin, TX 78731-4214 | 2011-10-10 |
| 1578845152 | Sabrina Mikan | Clinical Nurse Specialist | 6204 Balcones Dr, Austin, TX 78731-4214 | 2011-09-09 |
| 1851620116 | Kathryn Ashley Martin | Nurse Practitioner | 6204 Balcones Dr, Austin, TX 78731-4214 | 2009-12-16 |
| 1669700803 | Donna Elizabeth Preble | Clinical Nurse Specialist | 6204 Balcones Dr, Austin, TX 78731-4214 | 2009-11-30 |
| 1194987776 | Kathryn E Hudson | Internal Medicine | 6204 Balcones Dr, Austin, TX 78731-4214 | 2008-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| 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 |
|---|---|---|---|---|
| 1730780230 | Han Nguyen | Pharmacist | 12900 N Interstate 35 Ste 5, Austin, TX 78753-1054 | 2020-11-03 |
| 1164022620 | Casey Nicole Franklin | Pharmacist | 13201 N Fm 620 Rd, Austin, TX 78717-1011 | 2020-10-26 |
| 1811595648 | Lisa Nguyen | Pharmacist | 6908 Colorado Bluffs Rd, Austin, TX 78744-3330 | 2020-10-14 |
| 1184231680 | Caroline Nguyen | Pharmacist | 12900 N Ih 35, Austin, TX 78753-1049 | 2020-09-29 |
| 1063028074 | Deepika Mcconnell | Pharmacist | 2102 Peach Tree St, Austin, TX 78704-2843 | 2020-09-16 |
| 1982218004 | Cassey Gracey | Pharmacist | 3201 Bee Caves Rd Ste 132, Austin, TX 78746-6777 | 2020-09-04 |
| 1518579440 | Cassandra Castillo | Pharmacist | 5908 Daly Dr, Austin, TX 78747-4101 | 2020-08-21 |
| 1194336834 | Shalini Tripathi | Pharmacist | 11506 Heathrow Dr, Austin, TX 78759-4428 | 2020-08-15 |
| 1528682986 | Charlotte C Boyce | Pharmacist | 4150 Freidrich Ln Ste I, Austin, TX 78744-1052 | 2020-06-02 |
| 1295356723 | Victoria Tackett | Pharmacist | 12005 Bee Caves Rd Ste 1a, Austin, TX 78738-6387 | 2020-05-06 |
| Find all providers in AUSTIN | ||||
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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.