Active NPI
Jenna K.N. Blackman, PHARM.D.
- Pharmacist
- Santa Barbara, CA
National Provider Identifier
1982048203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66972
- Practice address
- Ucsb Student Health BLDG 588
Santa Barbara, CA 93106 - Phone
- (805) 893-5361
- NPI assigned
- Apr 18, 2013
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 66972 | CA | Primary |
Addresses
Primary practice location
Ucsb Student Health BLDG 588
Santa Barbara, CA 93106
Mailing address
Ucsb Student Health BLDG 588
Santa Barbara, CA 93106-7002
Phone (805) 893-5361
Other practice location 1
4650 Palm Ave
San Diego, CA 92154-8404
Phone (866) 385-2645
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66972 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1982048203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UCSB STUDENT HEALTH BLDG 588",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931067002",
"telephone_number": "805-893-5361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UCSB STUDENT HEALTH BLDG 588",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93106",
"telephone_number": "805-893-5361"
}
],
"practiceLocations": [
{
"address_1": "4650 Palm Ave",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921548404",
"country_code": "US",
"telephone_number": "866-385-2645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLACKMAN",
"first_name": "JENNA",
"middle_name": "K.N.",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.