IndividualActive
Michael Blackburn, RPH
NPI 1225236284 · Pharmacist · Maryville, IL
Michael Blackburn, RPH is a Pharmacist provider in Maryville, IL (NPI 1225236284).
Provider details
- NPI number
- 1225236284
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 2004017958 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 Foxmoor Dr
Maryville, IL 62062-6731
Phone: (314) 343-0194
Street-level locationGet directions
Mailing address
30 Foxmoor Dr
Maryville, IL 62062-6731
Registry dates
- Enumerated
- 2007-07-10
- Last updated
- 2008-09-08
Frequently asked questions
- What is Michael Blackburn's NPI number?
- Michael Blackburn's National Provider Identifier (NPI) is 1225236284, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Blackburn's specialty?
- Michael Blackburn is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Michael Blackburn located?
- Michael Blackburn's practice location on file with NPPES is 30 Foxmoor Dr, Maryville, IL 62062-6731.
- What is Michael Blackburn's phone number?
- The practice phone number listed in the NPPES registry for Michael Blackburn is (314) 343-0194.
- Is Michael Blackburn's NPI active?
- Yes — Michael Blackburn's NPI (1225236284) is active in the NPPES registry as of the last update on 2008-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.