Active NPI
Anita Faye Blackburn
- Pharmacy Technician
- Lubbock, TX
National Provider Identifier
1831274919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 15705
- Practice address
- 3401 N University Ave
Lubbock, TX 79415-1734 - Phone
- (806) 741-3433
- Fax
- (806) 741-3778
- NPI assigned
- Oct 26, 2006
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 15705 | TX | Primary |
Addresses
Primary practice location
3401 N University Ave
Lubbock, TX 79415-1734
Mailing address
3401 N University Ave
Lubbock, TX 79415-1734
Phone (806) 741-3433
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15705 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831274919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 N UNIVERSITY AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794151734",
"telephone_number": "806-741-3433",
"fax_number": "806-741-3778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N UNIVERSITY AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794151734",
"telephone_number": "806-741-3433",
"fax_number": "806-741-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKBURN",
"first_name": "ANITA",
"middle_name": "FAYE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "15705",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
- Cynthia Black, RPH
- Lashonda Nicole Black, LCDC-I
- Nicole Black, PHD, LPC-S, LCDC RPT
- Rosa Elena Black
- Sandra Ra'Chelle Black, ATC
- Ashley Sledge Blackstock, OTR/L
- David Eric Blackwell, M.D.
- Caitlin Sarah Blair, BSN, MSN, FNP-C
- Sara Elizabeth Blakeslee, LMFT ASSOCIATE
- Illeatha Dove Blakley Adams, CBD, CPPD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.