SEAN MICHAEL BLACKLEDGE (NPI# 1538624663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538624663 |
| Entity Type | Individual |
| Full Name | SEAN MICHAEL BLACKLEDGE |
| Credential | PHARMD |
| Practice Address |
801 East Ave Chico CA 95926-1250 |
| Mailing Address |
254 White Ave Chico CA 95926-1811 |
| Practice Telephone | 6363529920 |
| Mailing Telephone | 6363529920 |
| Enumeration Date | 2019-02-03 |
| Last Update Date | 2019-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 79706 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA BOARD OF PHARMACY | 79706 | 01 |
| Street Address |
801 EAST AVE |
| City | CHICO |
| State | CA |
| Zip Code | 95926-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235172594 | Longs Drug Stores California LLC | Pharmacy | 801 East Ave, Chico, CA 95926-1250 | 2006-06-14 |
| 1225635519 | Chixia Chongkau Vang | Pharmacist | 801 East Ave, Chico, CA 95926-1250 | 2020-10-08 |
| 1205482999 | Nguyet Hoanh Hoang | Pharmacist | 801 East Ave, Chico, CA 95926-1250 | 2019-08-17 |
| 1346729548 | Cyril Mensah Afeavo | Pharmacist | 801 East Ave, Chico, CA 95926-1250 | 2018-08-08 |
| 1942654223 | Becky Wong Kaplan | Pharmacist | 801 East Ave, Chico, CA 95926 | 2016-04-22 |
| 1770955171 | Daniel Patrick Lyons | Pharmacist | 801 East Ave, Chico, CA 95926-1250 | 2015-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| 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 |
|---|---|---|---|---|
| 1982057782 | Tolulope Alabi | Pharmacist | 1051 E Lassen Ave, Apt 65, Chico, CA 95973-0760 | 2016-07-15 |
| 1346605854 | Son Nguyen | Pharmacist | 767 Bridlewood Ct, Chico, CA 95926-7724 | 2015-12-28 |
| 1851772099 | Paula Ochipinti | Pharmacist | 3154 Summit Ridge Ter, Chico, CA 95928-7383 | 2015-06-13 |
| 1093126849 | Thomas Paul Goslin | Pharmacist | 211 W East Ave, Chico, CA 95926-7202 | 2014-05-14 |
| 1831446384 | Stephen Charles Schaefer | Pharmacist | 4 Jordanne Ct, Chico, CA 95928-3968 | 2012-08-14 |
| 1124303862 | Ahmed Mamane | Pharmacist | 230 Walnut St Ste B, Chico, CA 95928-5280 | 2011-10-13 |
| 1750665618 | Ali Reza Alsafar | Pharmacist | 2507 Eslpande Blvd, Chico, CA 95926 | 2011-10-10 |
| 1104107853 | Scott Borges | Pharmacist | 2507 Esplanade, Chico, CA 95926-1110 | 2011-09-07 |
| 1821389867 | Rupesh Dahya Kanji | Pharmacist | 650 Mangrove Ave, Chico, CA 95926-3947 | 2011-04-26 |
| 1306099627 | Chadd Eno | Pharmacist | 4 Lily Way, Chico, CA 95928-7378 | 2008-10-30 |
| Find all providers in CHICO | ||||
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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.