Healthcare Provider Details

I. General information

NPI: 1376631481
Provider Name (Legal Business Name): BLANKS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

272 W PIKE ST
COVINGTON KY
41011-2343
US

IV. Provider business mailing address

272 W PIKE ST
COVINGTON KY
41011-2343
US

V. Phone/Fax

Practice location:
  • Phone: 859-261-1313
  • Fax: 859-655-3042
Mailing address:
  • Phone: 859-261-1313
  • Fax: 859-655-3042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0143850001
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberP00358
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY FRANCIS BLANK
Title or Position: CHIEF PHARMACIST / PRESIDENT
Credential: RPH
Phone: 859-261-1313