Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1144450776 Deactivated / Inactive NPI Male Practitioner

Jeffrey J. Blacker , RPH

Pharmacist • Teecnospos, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jeffrey Blacker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 16, 2009
NPI Deactivation Date January 19, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Jeffrey Blacker, RPH was a registered Pharmacist practicing in Teecnospos, AZ. Throughout an active medical career spanning 12 years, Jeffrey Blacker provided care at the practice location at US HWY 160 & NAVAJO RTE 25 - RED MESA until profile deactivation on 2021-01-19.

Practice Location & Contact Primary Location

Practice Address

Us Hwy 160 & Navajo Rte 25 - Red Mesa

Teecnospos, AZ 86514

Telephone 9286565000
Fax 9286565164
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Teecnospos, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Teecnospos, AZ (6928 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 27989

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ralph Smith , PA

Physician Assistant

NPI 1003157660

Physician Assistant

Jennifer Beaver , RN

Registered Nurse - Ambulatory Care

NPI 1023362092

Registered Nurse

Christine Potter , RN

Registered Nurse

NPI 1033406426

Registered Nurse

Myles Williams , RN

Registered Nurse

NPI 1083944532

Registered Nurse

Jeanne Church , RN

Registered Nurse

NPI 1093029431

Registered Nurse

Xingwu Teng

Pharmacist

NPI 1093174419

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 19, 2021

Record deactivated on January 19, 2021

NPI Profile Active July 17, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 17, 2009

Registered at US HWY 160 & NAVAJO RTE 25 - RED MESA, TEECNOSPOS, AZ 86514 (Tel: 9286565000)

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Updated Business Mailing Address July 17, 2009

Registered at HCR 6100 BOX 30, TEECNOSPOS, AZ 86514 (Tel: 9286565000)

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Provider Name / Credentials Updated July 17, 2009

Recorded as JEFFREY BLACKER, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2009

Pharmacist (License #27989 in TX)

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Initial NPI Registration & Enumeration July 16, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144450776
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2009
Last Update: July 17, 2009
Deactivation Date: January 19, 2021

Mailing Address

Hcr 6100 Box 30

Teecnospos, AZ 86514

Phone: 9286565000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.