Katherine Leigh Blackburn, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0008015 Issued in WV

Practice address

101 Morrison Dr
Princeton, WV 24740-2322

Phone

(304) 425-3024

Fax

(304) 425-3268

NPI assigned

Aug 6, 2012

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1639426034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MORRISON DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402322",
            "telephone_number": "304-425-3024",
            "fax_number": "304-425-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MORRISON DR",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402322",
            "telephone_number": "304-425-3024",
            "fax_number": "304-425-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "KATHERINE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202211597",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0008015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylyn Elizabeth Bishop
• Stephen Bishop
• Theresa Bishop
• Ashley Bivens
• Margaret Bixby
• Brandi Blackwell
• Savannah Blair
• Christopher Grant Blankenship, APRN-CNP
• Dianna Blankenship
• Erica Rachele Blankenship, RN

• Pharmacist in Princeton, WV
• Providers in Princeton, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.