Karen Ann Blakely, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH21868 Issued in MA

Practice address

100 Charlton Rd
Sturbridge, MA 01566-1505

Phone

(508) 347-6344

Fax

(508) 347-6329

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By 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

Registered Pharmacist

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  dba Wal-Mart Pharmacy 10-2797

  • Community/Retail Pharmacy
  • Sturbridge, MA
  • NPI 1659398964
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1851991731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BARBER RD",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062812700",
            "telephone_number": "860-617-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHARLTON RD",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015661505",
            "telephone_number": "508-347-6344",
            "fax_number": "508-347-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKELY",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT0007148",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH21868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia S Bak, RN, CDE
• Lisa Bardo-Barnes
• Elizabeth Prokos Berry, OD
• Rebecca Anne Bianchi, LMHC
• Anne Bisson Ingersoll
• Thomas Edwin Boccia, DMD
• Sheila Ann Botti, RN CS
• Branches Integrative Wellness, LLC
• Brandis Center, Inc.
• Jason Brewster

• Pharmacist in Sturbridge, MA
• Providers in Sturbridge, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.