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1457905077 NPI number — CHEDAE JASMINE BLACKWELL PHARMD, RPH

NPI Number: 1457905077
Health Care Provider/Practitioner: CHEDAE JASMINE BLACKWELL PHARMD, RPH

Information about “1457905077” NPI (CHEDAE JASMINE BLACKWELL PHARMD, RPH) exists in 1457905077 in HTML format HTML  |  1457905077 in plain Text format TXT  |  1457905077 in PDF (Portable Document Format) PDF  |  1457905077 in an XML format XML  formats.

NPI Number : 1457905077 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457905077",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BLACKWELL",
    "FirstName": "CHEDAE",
    "MiddleName": "JASMINE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PHARMD, RPH",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "126 VALLEY DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RIPLEY",
    "MailingAddressStateName": "WV",
    "MailingAddressPostalCode": "25271-1638",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3400 DUDLEY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PARKERSBURG",
    "PracticeLocationAddressStateName": "WV",
    "PracticeLocationAddressPostalCode": "26104-1810",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "304-428-0946",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/31/2019",
    "LastUpdateDate": "07/31/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "RP0011771",
        "LicenseNumberStateCode": "WV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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