Robert G Blaiklock, R.PH, PH.D,

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

28RI02263200 Issued in NJ

Practice address

130 W Kingsbridge Rd
Pharmacy (119)
Bronx, NY 10468-3904

Phone

(718) 584-9000

Fax

(718) 741-4406

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831297480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 GARDEN PL",
            "address_2": "APT 161",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070207235",
            "telephone_number": "201-941-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W KINGSBRIDGE RD",
            "address_2": "PHARMACY (119)",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104683904",
            "telephone_number": "718-584-9000",
            "fax_number": "718-741-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIKLOCK",
        "first_name": "ROBERT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "R.PH, PH.D,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI02263200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oni Jahi Blackstock, M.D.
• Carol Blackwell
• Victoria Blackwell
• Caryl Blackwood
• Kristina Blackwood
• Jahmeal Thelma Blain
• Angela Blair, NP
• Brenda Blair, CASAC
• Carolyn Blair, LMSW
• Grace Blair

• Pharmacotherapy Pharmacist in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacotherapy Pharmacist in New York

• 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.

Verify at the official NPI Registry.