Active NPI
Holly Poole Blackley, RPH
- Pharmacist
- Cincinnati, OH
National Provider Identifier
1790059004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03325775
- Practice address
- 5805 Woodmont Ave
Cincinnati, OH 45213-2003 - Phone
- (513) 602-6583
- NPI assigned
- Mar 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03325775 | OH | Primary |
Addresses
Primary practice location
5805 Woodmont Ave
Cincinnati, OH 45213-2003
Mailing address
5805 Woodmont Ave
Cincinnati, OH 45213-2003
Phone (513) 602-6583
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03325775 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1790059004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 WOODMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452132003",
"telephone_number": "513-602-6583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 WOODMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452132003",
"telephone_number": "513-602-6583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKLEY",
"first_name": "HOLLY",
"middle_name": "POOLE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-05",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03325775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.