MICHAEL BLACKBURN RPH
NPI 1225236284
Pharmacist in Maryville, IL

Active since July 10, 2007
30 FOXMOOR DR, MARYVILLE, IL 62062(314) 343-0194 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael Blackburn Rph NPPES

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

MICHAEL BLACKBURN RPH (NPI 1225236284) is an individual pharmacist in Maryville, Illinois, licensed in Missouri (2004017958) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1225236284
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMICHAEL BLACKBURNCredential: RPH
Location Address30 FOXMOOR DRMaryville, IL 62062-6731
Mailing Address30 Foxmoor DrMaryville, IL 62062-6731
Sole ProprietorNo
Enumeration DateJuly 10, 2007
Last NPPES UpdateSeptember 8, 2008
NPI 1225236284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2004017958
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.

30 FOXMOOR DR, Maryville, IL 62062

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 Michael Blackburn's NPI number?

The NPI number for Michael Blackburn is 1225236284. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Michael Blackburn located?

Michael Blackburn practices at 30 Foxmoor Dr, Maryville, IL 62062. The listed phone number is (314) 343-0194.

What is Michael Blackburn'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 Michael Blackburn was last updated on September 8, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.