NPIMap

Organization Active NPI

Robert a Blake

  • Community/Retail Pharmacy
  • West Union, OH
National Provider Identifier
1962593657
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
021171650 Issued in OH
Legal business name
ROBERT A BLAKE
Practice address
206 N Market St
West Union, OH 45693-1307
Phone
(937) 544-2451
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Robert A Blake, RPHNPI 1942283213
Title
Owner
Phone
(937) 544-2451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 021171650 OH Primary

Addresses

Primary practice location

206 N Market St
West Union, OH 45693-1307

Mailing address

206 N Market St
West Union, OH 45693-1307
Phone (937) 544-2451

Other identifiers 1

IdentifierTypeStateIssuer
2137520MedicaidOH

National Provider Directory

National Provider Directory

Locations

206 N Market St
West Union, OH 45693
Phone (937) 544-2451

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1962593657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N MARKET ST",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931307",
            "telephone_number": "937-544-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N MARKET ST",
            "city": "WEST UNION",
            "state": "OH",
            "postal_code": "456931307",
            "telephone_number": "937-544-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A BLAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "BLAKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-544-2451",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021171650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2137520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Union, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.