Active NPI
Blake Francisco, PHARMD, RPH
- Pharmacist
- West Jordan, UT
National Provider Identifier
1720332687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7684410-8911
- Practice address
- 7859 S 3200 W
West Jordan, UT 84088-5230 - Phone
- (801) 255-7557
- Fax
- (801) 266-4876
- NPI assigned
- Oct 31, 2012
- Last updated
- Apr 10, 2017
- Sex
- Male
- Sole proprietor
- No
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 | RPH-0013242 | OR | |
| Pharmacist | 183500000X | 7684410-8911 | UT | Primary |
Addresses
Primary practice location
7859 S 3200 W
West Jordan, UT 84088-5230
Mailing address
5469 W Harvestmill Dr
West Jordan, UT 84081-1794
Phone (503) 858-0046
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0013242 | OR | MD | Pharmacist |
| 7684410-8911 | UT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maceys Inc | Past | Accepting new patients | |
| Maceys 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": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1720332687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5469 W HARVESTMILL DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840811794",
"telephone_number": "503-858-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7859 S 3200 W",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840885230",
"telephone_number": "801-255-7557",
"fax_number": "801-266-4876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCISCO",
"first_name": "BLAKE",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0013242",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "UT",
"license": "7684410-8911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.