Jillian Leah Blackwell, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

58533 Issued in TX

Practice address

1509 S Lamar Blvd Ste 550
Austin, TX 78704-2988

Phone

(512) 442-6777

NPI assigned

Nov 18, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1033754767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 S LAMAR BLVD STE 550",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042988",
            "telephone_number": "512-442-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S LAMAR BLVD STE 550",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042988",
            "telephone_number": "512-442-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Commons Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Dripping Springs",
            "state": "TX",
            "postal_code": "786203966",
            "country_code": "US",
            "telephone_number": "512-858-7935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "JILLIAN",
        "middle_name": "LEAH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "58533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Blackshare, FNP-C
• Shannon Blackstock, RN, CPNP
• Blackwelder Optometry, PLLC
• Sarah Blackwelder, OD
• Charles D Blackwell, PHARM. D.
• Rebecca J Blackwell
• Lisa Blackwood, LPC
• Tiara Blackwood
• Kelsey Blahnik, LCSW
• Blair Kott Nutrition

• Pharmacist in Austin, TX
• Providers in Austin, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; 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.