JACOB MATTHEW BLACKHAM
NPI 1154553931
Pharmacist in Herriman, UT

Q: What is Jacob Blackham's NPI number?

The NPI number for Jacob Blackham is 1154553931. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Q: What is Jacob Blackham's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Blackham was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 13, 2009

6982 COYOTE RIDGE CIR, HERRIMAN, UT 84096(435) 262-0806 Get Directions Write a Review

NPPES record last updated: August 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacob Matthew Blackham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MATTHEW BLACKHAM (NPI 1154553931) is an individual pharmacist in Herriman, Utah, licensed in Utah (7399708-1702) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1154553931

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameJACOB MATTHEW BLACKHAM

Location Address6982 COYOTE RIDGE CIRHerriman, UT 84096-3534

Mailing Address6982 Coyote Ridge CirHerriman, UT 84096-3534

Phone(435) 262-0806

Sole ProprietorNo

Enumeration DateAugust 13, 2009

✔ NPI 1154553931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in UT · 7399708-1702

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

6982 COYOTE RIDGE CIR, Herriman, UT 84096

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Blackham's NPI number?

The NPI number for Jacob Blackham is 1154553931. It was assigned to this individual provider in the NPPES registry on August 13, 2009.

Where is Jacob Blackham located?

Jacob Blackham practices at 6982 Coyote Ridge Cir, Herriman, UT 84096. The listed phone number is (435) 262-0806.

What is Jacob Blackham's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jacob Blackham was last updated on August 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.