What is Jimmy Blackburn's NPI number?

Jimmy Blackburn's National Provider Identifier (NPI) is 1295144830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jimmy Blackburn's specialty?

Jimmy Blackburn is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Jimmy Blackburn located?

Jimmy Blackburn's practice location on file with NPPES is 1500 E Downing St Ste 6, Tahlequah, OK 74464-3234.

What is Jimmy Blackburn's phone number?

The practice phone number listed in the NPPES registry for Jimmy Blackburn is (918) 456-0694.

Is Jimmy Blackburn's NPI active?

Yes — Jimmy Blackburn's NPI (1295144830) is active in the NPPES registry as of the last update on 2022-07-21.

IndividualActive

Jimmy Blackburn, PHARMD

NPI 1295144830 · Pharmacist · Tahlequah, OK

Jimmy Blackburn, PHARMD is a Pharmacist provider in Tahlequah, OK (NPI 1295144830).

Provider details

NPI number: 1295144830
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 15235 (OK)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 15235 (OK)
Pharmacy Service Providers

Profile Score

Detailed profile(75/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 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

1500 E Downing St Ste 6

Tahlequah, OK 74464-3234

Phone: (918) 456-0694

Street-level locationGet directions

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Mailing address