Jennifer Esper Blizard, RPH
Individual provider Active NPI Pharmacist · Ipswich, MA
NPI 1326352196 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1326352196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH21649 (MA)
- Practice address
- 8 Fox Run Rd
Ipswich, MA 01938-1166 - Phone
- (978) 412-9673
- Fax
- (978) 312-1673
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH21649 | MA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH21649 | MA | Yes |
Addresses
Primary practice location
8 Fox Run Rd
Ipswich, MA 01938-1166
Mailing address
8 Fox Run Rd
Ipswich, MA 01938-1166
Phone (978) 412-9673
Other providers in Ipswich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.