Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700183688 Deactivated / Inactive NPI Male Practitioner

Randall Edward Blake , PHARMACIST

Pharmacist • Biloxi, MS

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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, Randall Blake has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 11, 2011
NPI Deactivation Date March 06, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Randall Blake, PHARMACIST was a registered Pharmacist practicing in Biloxi, MS. Throughout an active medical career spanning 13 years, Randall Blake provided care at the practice location at 400 VETERANS AVENUE until profile deactivation on 2024-03-06.

Practice Location & Contact Primary Location

Practice Address

400 Veterans Avenue
Va Gulf Coast Veterans Health Care System

Biloxi, MS 39531

Telephone 2285235141

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Biloxi, MS

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

Practicing in Biloxi, MS (2321 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 TN 4634

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

7 Associated Practitioners
NPI 1154587764

Doctor of Pharmacy (Pharm.D.)

NPI 1255356861

Registered Pharmacist

NPI 1306876412

Registered Pharmacist

NPI 1578187068

Doctor of Pharmacy (Pharm.D.)

NPI 1649211483

Registered Pharmacist

NPI 1821419227

Registered Pharmacist

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 March 06, 2024

Record deactivated on March 06, 2024

NPI Profile Active February 11, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 11, 2011

Registered at 400 VETERANS AVENUE, VA GULF COAST VETERANS HEALTH CARE SYSTEM, BILOXI, MS 39531 (Tel: 2285235141)

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Updated Business Mailing Address February 11, 2011

Registered at 400 VETERANS AVENUE, VA GULF COAST VETERANS HEALTH CARE SYSTEM, BILOXI, MS 39531 (Tel: 2285235141)

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Provider Name / Credentials Updated February 11, 2011

Recorded as RANDALL BLAKE, PHARMACIST

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2011

Pharmacist (License #4634 in TN)

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Initial NPI Registration & Enumeration February 11, 2011

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: 1700183688
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 11, 2011
Last Update: February 11, 2011
Deactivation Date: March 06, 2024

Mailing Address

400 Veterans Avenue, Va Gulf Coast Veterans Health Care System

Biloxi, MS 39531

Phone: 2285235141

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.