Active NPI
Thea Marie Blystone, PHARMD.
- Ambulatory Care Pharmacist
- Meadville, PA
National Provider Identifier
1366628513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- RP441361
- Practice address
- 1180 Ridgemont Drive
Meadville, PA 16335 - Phone
- (814) 499-1010
- Fax
- (814) 676-8716
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP441361 | PA | |
| Ambulatory Care Pharmacist | 1835P2201X | RP441361 | PA | Primary |
Addresses
Primary practice location
1180 Ridgemont Drive
Meadville, PA 16335
Mailing address
1180 Ridgemont Drive
Meadville, PA 16335
Phone (814) 499-1010
Other names 1
- Dr. Thea Marie Baker
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP441361 | PA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | 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": "1200614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1366628513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 RIDGEMONT DRIVE",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "16335",
"telephone_number": "814-499-1010",
"fax_number": "814-676-8716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 RIDGEMONT DRIVE",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "16335",
"telephone_number": "814-499-1010",
"fax_number": "814-676-8716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLYSTONE",
"first_name": "THEA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-18",
"last_updated": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP441361",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "PA",
"license": "RP441361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THEA",
"last_name": "BAKER",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "PHARMD.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.