Active NPI
Jane Ann Blake, R.PH.
- Geriatric Pharmacist
- Saint Louis, MO
National Provider Identifier
1871627901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 042321
- Practice address
- 3023 N Ballas Rd
Saint Louis, MO 63131-2330 - Phone
- (314) 996-7501
- Fax
- (314) 996-7502
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 042321 | MO | Primary |
Addresses
Primary practice location
3023 N Ballas Rd
Saint Louis, MO 63131-2330
Mailing address
14705 Westerly PL
Chesterfield, MO 63017-7918
Phone (636) 391-3562
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 |
|---|---|---|---|
| 042321 | MO | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871627901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14705 WESTERLY PL",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630177918",
"telephone_number": "636-391-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3023 N BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312330",
"telephone_number": "314-996-7501",
"fax_number": "314-996-7502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAKE",
"first_name": "JANE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MO",
"license": "042321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
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.