Mary Kathryn Blackburn, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

2005033290 Issued in MO

Practice address

211 Saint Francis Drive
Suite 01512
Cape Girardeau, MO 63703

Phone

(855) 213-0007

Fax

(855) 213-0052

NPI assigned

May 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Kathryn Barbour Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• Black River Ambulatory Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Poplar Bluff, MO
  • NPI 1770149304
  NPD
• Saint Francis Medical Center

  • Specialty Pharmacy
  • Cape Girardeau, MO
  • NPI 1376397539
  NPD
• Saint Francis Medical Center

  • Clinic/Center
  • Jackson, MO
  • NPI 1992502975
  NPD (past)

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1508615832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DRIVE",
            "address_2": "SUITE 01512",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "855-213-0007",
            "fax_number": "855-213-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 SAINT FRANCIS DRIVE",
            "address_2": "SUITE 01512",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63703",
            "telephone_number": "855-213-0007",
            "fax_number": "855-213-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2005033290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BARBOUR",
            "middle_name": "KATHRYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey Rae Bigham, LPC
• Joy Bird
• Elizabethe Biri
• Kathleen A Biri, DPT
• Bradley Keith Bittle, MD
• Lauren Blackwelder, MD
• Lauren Beezley Blake, M.D.
• Lyric Blake
• Martin Calvin Blake, M.D.
• Judee Lynn Bland, MD

• Pharmacist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.