Thomas J Blakely, RPH/DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

9196 Issued in AZ

Practice address

2240 Winrow Ave
USA Meddac, Rwbahc
Fort Huachuca, AZ 85613

Phone

(520) 533-2520

Fax

(520) 533-0464

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164504148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 W MOCKINGBIRD LN",
            "city": "MC NEAL",
            "state": "AZ",
            "postal_code": "856179653",
            "telephone_number": "520-533-2520",
            "fax_number": "520-533-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 WINROW AVE",
            "address_2": "USA MEDDAC, RWBAHC",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "85613",
            "telephone_number": "520-533-2520",
            "fax_number": "520-533-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "RPH/DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "9196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacy Berkshire
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• Hanna Betts
• Theresa Lynn Biron, N.P.
• Jonathan Blinstrub, D.D.S
• Sonia Blodgett
• Stephen Sean Borchers, ASW
• Larry Richard Bowman, DMD
• Brianna Nicole Brown-Sherman, DPT

• Pharmacist in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.