Nathan Andrew Blasdel, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.295301 Issued in IL

Practice address

207 W Jourdan St
Newton, IL 62448-1930

Phone

(618) 783-2473

NPI assigned

Nov 30, 2020

Sex

Male

Sole proprietor

No

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, last updated by the provider on Nov 30, 2020.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1194320127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 COUNTY ROAD 1350 N",
            "city": "WAYNE CITY",
            "state": "IL",
            "postal_code": "628950420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W JOURDAN ST",
            "city": "NEWTON",
            "state": "IL",
            "postal_code": "624481930",
            "telephone_number": "618-783-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASDEL",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.295301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Andes, APRN
• Kristina Arney
• Melinda K Barthelme, NP-C
• Ashton Beaver
• Ashley Bigard, BS
• Bloomberg Chiropractic Center
• David Scott Bloomberg, D.C.
• Pamela Sue Briscoe, M.S.
• Alyssa Burnett, DPT
• Debra Darlene Cantrell, MS, CCC-SLP

• All providers in Newton, IL
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.