Dr. Roger C Blake , DO
Pharmacist • Moraine, OH
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, Dr. Roger Blake has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Roger Blake, DO was a registered Pharmacist practicing in Moraine, OH. Throughout an active medical career spanning 13 years, Dr. Blake provided care at the practice location at 3033 KETTERING BLVD until profile deactivation on 2018-01-04.
Practice Location & Contact Primary Location
3033 Kettering Blvd
Suite 100
Moraine, OH 454391962
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Moraine, OH
Practicing in Moraine, OH (11028 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 183500000X
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
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner
Certified Nurse Practitioner
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Family Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 04, 2018
NPI status registered as active in NPPES database
Registered at 3033 KETTERING BLVD, SUITE 100, MORAINE, OH 454391962 (Tel: 9372932133)
Registered at 2720 PINE VALLEY CT, DAYTON, OH 454142159
Recorded as ROGER BLAKE, D.O.
Pharmacist (License #03-3-08838 in OH)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
2720 Pine Valley Ct
Dayton, OH 454142159
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