Blake Pharmacy , Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

02-0481050 Issued in OH

Legal business name

BLAKE PHARMACY , INC.

Practice address

35 E Second St
Manchester, OH 45144-1301

Phone

(937) 549-3773

Fax

(937) 549-3714

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen D Hill, R.PH.NPI 1679668289

Title

Manager

Phone

(937) 549-3773

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Diane Hill, R.PH.

  • Pharmacist
  • Manchester, OH
  • NPI 1679668289
  NPD (past) Authorized official
• Dustin Paul Campbell, PHARMD

  • Pharmacist
  • Manchester, OH
  • NPI 1255314878
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1245325844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E SECOND ST",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451441301",
            "telephone_number": "937-549-3773",
            "fax_number": "937-549-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E SECOND ST",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451441301",
            "telephone_number": "937-549-3773",
            "fax_number": "937-549-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE PHARMACY , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "937-549-3773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-0481050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0642871",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amelia Gwyn Applegate, LPN
• Michelle Knisley Ayres, D.D.S.
• Elizabeth Beasley
• Beverly Bell
• Michelle Lee Bilyeu, CNA
• Olivia Blythe
• Dallas Cheyanne Breeze
• Judy Breeze, REGISTERED NURSE
• Amanda Anges Brown
• Dustin Paul Campbell, PHARMD

• Community/Retail Pharmacy in Manchester, OH
• Providers in Manchester, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.