Individual provider Active NPI

James Blazier

  • Pharmacist
  • Saint Louis, MO
National Provider Identifier
1003401761
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2015026127 Issued in MO
Practice address
1884 Lackland Hill Pkwy Ste 6
Saint Louis, MO 63146-3569
Phone
(314) 344-9094
Fax
(314) 344-9097
NPI assigned
Mar 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2015026127 MO Primary

Addresses

Primary practice location

1884 Lackland Hill Pkwy Ste 6
Saint Louis, MO 63146-3569

Mailing address

1884 Lackland Hill Pkwy Ste 6
Saint Louis, MO 63146-3569
Phone (314) 344-9094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2015026127MOMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1003401761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1884 LACKLAND HILL PKWY STE 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463569",
            "telephone_number": "314-344-9094",
            "fax_number": "314-344-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1884 LACKLAND HILL PKWY STE 6",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463569",
            "telephone_number": "314-344-9094",
            "fax_number": "314-344-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZIER",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2015026127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.