Individual provider Active NPI

Robert Bernard Blakney, RPH

  • Pharmacist
  • Tuscaloosa, AL
National Provider Identifier
1245578467
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6799 Issued in AL
Practice address
4851 Rice Mine Rd NE Ste 200
Tuscaloosa, AL 35406-3571
Phone
(205) 247-4721
Fax
(205) 247-7922
NPI assigned
Jan 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6799 AL Primary

Addresses

Primary practice location

4851 Rice Mine Rd NE Ste 200
Tuscaloosa, AL 35406-3571

Mailing address

4851 Rice Mine Rd NE Ste 200
Tuscaloosa, AL 35406-3571
Phone (205) 247-4721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
6799ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Alabama, LLC Past Accepting new patients
Publix Alabama LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1245578467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 RICE MINE RD NE STE 200",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063571",
            "telephone_number": "205-247-4721",
            "fax_number": "205-247-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 RICE MINE RD NE STE 200",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063571",
            "telephone_number": "205-247-4721",
            "fax_number": "205-247-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKNEY",
        "first_name": "ROBERT",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "6799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.