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DR. JIMMY BLACKBURN JR. PHARMD
NPI 1295144830
Pharmacist in Tahlequah, OK

Active since August 07, 2014
1500 E DOWNING ST STE 6, TAHLEQUAH, OK 74464(918) 456-0694 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 26, 2017 (2 updates tracked since 2017).

About Dr. Jimmy Blackburn Jr. Pharmd NPPES

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

DR. JIMMY BLACKBURN JR. PHARMD (NPI 1295144830) is an individual pharmacist in Tahlequah, Oklahoma, licensed in Oklahoma (15235) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1295144830
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JIMMY BLACKBURN JR.Credential: PHARMD
Location Address1500 E DOWNING ST STE 6Tahlequah, OK 74464-3234
Mailing Address1500 E Downing St Ste 6Tahlequah, OK 74464-3234 · (918) 456-0694
Phone(918) 456-0694
Sole ProprietorNo
Enumeration DateAugust 7, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1295144830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in OK · 15235
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.
1500 E DOWNING ST STE 6, Tahlequah, OK 74464
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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 Jimmy Blackburn's NPI number?

The NPI number for Jimmy Blackburn is 1295144830. It was assigned to this individual provider in the NPPES registry on August 7, 2014.

Where is Jimmy Blackburn located?

Jimmy Blackburn practices at 1500 E Downing St Ste 6, Tahlequah, OK 74464. The listed phone number is (918) 456-0694.

What is Jimmy 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 Jimmy Blackburn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.