Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508466137 Individual Practitioner Male Practitioner

Nicholas Coleman Blackwell

Pharmacist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Nicholas Blackwell is a registered healthcare professional specializing in Pharmacist in Jacksonville, FL. Practice services are available at 10991 SAN JOSE BLVD STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10991 San Jose Blvd Ste 1

Jacksonville, FL 322236600

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East, Lp Facility NPI 1598856882

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1053 Specialists

Practicing in Jacksonville, FL (19926 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

CMS Verified: 2020-11-01
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH026059

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
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 01, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2020

Registered at 10991 SAN JOSE BLVD STE 1, JACKSONVILLE, FL 322236600 (Tel: 9049532000)

📍
Updated Business Mailing Address November 01, 2020

Registered at 2033 BEACHWOOD RD, FERNANDINA, FL 320346533

👤
Provider Name / Credentials Updated November 01, 2020

Recorded as NICHOLAS BLACKWELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2020

Pharmacist (License #RPH026059 in GA)

🟢
Initial NPI Registration & Enumeration November 01, 2020

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: 1508466137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2020
Last Update: November 01, 2020
Sole Proprietor: Yes

Mailing Address

2033 Beachwood Rd

Fernandina, FL 320346533

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.