Blake Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

BLAKE PHARMACY INC.

Practice address

103 N Main St
Peebles, OH 45660-1246

Phone

(937) 587-3100

Fax

(937) 587-5045

NPI assigned

Sep 30, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Paul Applegate, RPH

Title

Pharmacist/MGR.

Phone

(937) 587-3100

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043207491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456601246",
            "telephone_number": "937-587-3100",
            "fax_number": "937-587-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456601246",
            "telephone_number": "937-587-3100",
            "fax_number": "937-587-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST/MGR.",
        "authorized_official_telephone_number": "937-587-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "3634208",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0315297",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy Angel
• Tessy Lynn Baker, ED.S SCHOOL PSYCH
• Balance Health Ohio LLC
• Balance Health Ohio LLC
• Blake Pharmacy
• Charles R Blake, RPH
• Rita Blake
• Crystal Blevins, CDCA
• Felicia Boles
• Joanne Brockhoeft

• Pharmacist in Peebles, OH
• Providers in Peebles, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.