MR. GREGORY JOHN BLACKBURN


Address: 2100 Preakness Pass, Las Vegas, NV 89117-5946
Phone: 7022562173

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
NV11281 NV Pharmacy Service Providers

Office Location

Street Address 2100 PREAKNESS PASS
City LAS VEGAS
State NV
Zip Code 89117-5946

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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAS VEGAS
Zip Code 89117

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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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