Jacob R Blake, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP460657 Issued in PA

Practice address

4265 Buffalo Rd
Erie, PA 16510-2111

Phone

(814) 899-6063

Fax

(814) 898-1553

NPI assigned

Sep 1, 2026

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1487562088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102111",
            "telephone_number": "814-899-6063",
            "fax_number": "814-898-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165102111",
            "telephone_number": "814-899-6063",
            "fax_number": "814-898-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKE",
        "first_name": "JACOB",
        "middle_name": "R",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP460657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Chadwick Blackford, PH.D.
• Christina Grace Blacksten
• Blaine M Bell DMD PC
• Brian David Blair, CRNP
• Markelle Lane Blair, OTR
• Jeffery Irving Blake, M.D.
• Lawrence David Blake, DDS
• Kirsten Elizabeth Blakeslee, DO
• Ryan David Blanc, DDS
• Evelyn Dianne Blanchard, PT

• Pharmacist in Erie, PA
• Providers in Erie, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.