Casey Jean Blakley, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

47054 Issued in TN

Practice address

4221 Fort Henry Dr
Kingsport, TN 37663-2227

Phone

(423) 239-9191

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Harrisburg, IL
  • NPI 1235163049
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Owensboro, KY
  • NPI 1730104431
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1922778570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 POPLAR GROVE RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645749",
            "telephone_number": "618-841-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 FORT HENRY DR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632227",
            "telephone_number": "423-239-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAKLEY",
        "first_name": "CASEY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "022364",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "47054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Blackburn, PHARMD
• Reid B Blackwelder, M.D.
• Gerald G Blackwell, MD
• Dottie S Blades, MSW LCSW
• Kevin K Blake, NP
• Racheal Amanda Blakley, M.S OTR/L
• Kerri Elyse Blancarte, LPC
• Susan Montella Bland, M.D.
• Kaitlyn Ruthann Blankenbeckler, FNP
• Courtney Lahatte Blankenship, DMD

• All providers in Kingsport, TN
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.