IndividualActive
Blade Black, PHARMD
NPI 1639954092 · Pharmacist · Wichita, KS
Blade Black, PHARMD is a Pharmacist provider in Wichita, KS (NPI 1639954092).
Provider details
- NPI number
- 1639954092
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 1-109251 (KS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5500 E Kellogg Dr
Wichita, KS 67218-1607
Phone: (316) 806-9221
Street-level locationGet directions
Mailing address
12109 E Clark St
Wichita, KS 67207-6724
Registry dates
- Enumerated
- 2023-08-25
- Last updated
- 2023-08-25
- Certified
- 2023-08-25
Frequently asked questions
- What is Blade Black's NPI number?
- Blade Black's National Provider Identifier (NPI) is 1639954092, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blade Black's specialty?
- Blade Black is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Blade Black located?
- Blade Black's practice location on file with NPPES is 5500 E Kellogg Dr, Wichita, KS 67218-1607.
- What is Blade Black's phone number?
- The practice phone number listed in the NPPES registry for Blade Black is (316) 806-9221.
- Is Blade Black's NPI active?
- Yes — Blade Black's NPI (1639954092) is active in the NPPES registry as of the last update on 2023-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.