Terry A Blank, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

030649-1 Issued in NY

Practice address

440 9TH Ave
New York, NY 10001-1620

Phone

(212) 273-5700

NPI assigned

Dec 24, 2007

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

Other identifiers 1

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198454400000",
    "number": "1205010386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1-15 N. CENTRAL AVE.",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105301912",
            "telephone_number": "914-428-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 9TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011620",
            "telephone_number": "212-273-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "TERRY",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030649-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02379766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marion Blank
• Nina Blank, MD
• Rebecca Barbara Blank, PH.D., M.D.
• Stephanie Blank, MD
• Susan Blank, MD
• Wesley S Blank, M.D.
• Terry G Blanken, PH.D.
• Eleonora Blankenbuehler
• Zachary Blankenship, D.O.
• Robert J Blankfein, M.D.

• Pharmacist in New York, NY
• Providers in New York, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.