Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1508324518 Deactivated / Inactive NPI Male Practitioner

John A Blomgren , DPH

Pharmacist • Nicoma Park, OK

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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, John Blomgren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 08, 2019
NPI Deactivation Date November 08, 2025
Total Practice Duration ~6 Years of Practice (2019 – 2025)

Professional Overview & Biography Verified Profile Summary

John Blomgren, DPH was a registered Pharmacist practicing in Nicoma Park, OK. Throughout an active medical career spanning 6 years, John Blomgren provided care at the practice location at 10911 NE 23RD ST until profile deactivation on 2025-11-08.

Practice Location & Contact Primary Location

Practice Address

10911 Ne 23rd St

Nicoma Park, OK 73066

Telephone 4057698585
Fax 4057698787
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Nicoma Park, OK

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

Practicing in Nicoma Park, OK (3455 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 OK 7916

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

1 Associated Practitioners
Tao Chen , DPH

Pharmacist

NPI 1790452951

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated November 08, 2025

Record deactivated on November 08, 2025

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NPI Profile Deactivated November 07, 2025

Record deactivated on November 07, 2025

NPI Profile Active March 08, 2019

NPI status registered as active in NPPES database

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Updated Practice Location March 08, 2019

Registered at 10911 NE 23RD ST, NICOMA PARK, OK 73066 (Tel: 4057698585)

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Updated Business Mailing Address March 08, 2019

Registered at PO BOX 489, NICOMA PARK, OK 730660489 (Tel: 4057698585)

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Provider Name / Credentials Updated March 08, 2019

Recorded as JOHN BLOMGREN, DPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2019

Pharmacist (License #7916 in OK)

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Initial NPI Registration & Enumeration March 08, 2019

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: 1508324518
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2019
Last Update: March 08, 2019
Deactivation Date: November 08, 2025

Mailing Address

Po Box 489

Nicoma Park, OK 730660489

Phone: 4057698585

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.