MR. GREGORY JOHN BLACKBURN (NPI# 1942252234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942252234 |
Entity Type | Individual |
Full Name | MR. GREGORY JOHN BLACKBURN |
Credential | RPH |
Practice Address |
2100 Preakness Pass Las Vegas NV 89117-5946 |
Practice Telephone | 7022562173 |
Mailing Telephone | 7022562173 |
Enumeration Date | 2006-05-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
NV11281 | NV | Pharmacy Service Providers |
Street Address |
2100 PREAKNESS PASS |
City | LAS VEGAS |
State | NV |
Zip Code | 89117-5946 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
Find all providers in zip 89117 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326516154 | Jonathan Edward Bradbury | Pharmacist | 10448 Raining Sky St, Las Vegas, NV 89178-3540 | 2018-11-09 |
1477969152 | Ashley Slocum | Pharmacist | 7354 Stonecott St, Las Vegas, NV 89123-1186 | 2014-07-02 |
1528203254 | Joel H Raiman | Pharmacist | 2901 Bernardo Ln, Las Vegas, NV 89102-4054 | 2008-12-09 |
1427208818 | Noor Dudekula | Pharmacist | 7151 W Craig, Las Vegas, NV 89129 | 2008-09-23 |
1063535136 | Carl David Tunison Jr. | Pharmacist | 8924 Silk Bonnet Ct, Las Vegas, NV 89143-5412 | 2007-04-06 |
1477574978 | Gary Sean Goodman | Pharmacist | 6000 Quiet Glow Ave, Las Vegas, NV 89139-6422 | 2006-07-21 |
1265484844 | Margaret Mary Gordon | Pharmacist | 6654 Universal Ave, Las Vegas, NV 89142-3703 | 2006-05-16 |
1588646897 | Harvey Brian Riceberg | Pharmacist | 4415 Emerald Ave, Las Vegas, NV 89120-2134 | 2005-11-14 |
1528069564 | Emerald B Foster | Pharmacist | 4877 Maiden Court, Las Vegas, NV 89130 | 2005-08-01 |
1811530637 | Dominik Bialek | Pharmacist | 8930 W Sunset Rd Ste 100, Las Vegas, NV 89148-5009 | 2019-10-24 |
Find all providers in LAS VEGAS |
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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.