John A Blomgren , DPH
Pharmacist • Nicoma Park, OK
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.
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
10911 Ne 23rd St
Nicoma Park, OK 73066
Specialty Benchmarks & Practice Insights
Comparative analytics for Pharmacist in Nicoma Park, OK
Practicing in Nicoma Park, OK (3455 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
Pharmacist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 08, 2025
Record deactivated on November 07, 2025
NPI status registered as active in NPPES database
Registered at 10911 NE 23RD ST, NICOMA PARK, OK 73066 (Tel: 4057698585)
Registered at PO BOX 489, NICOMA PARK, OK 730660489 (Tel: 4057698585)
Recorded as JOHN BLOMGREN, DPH
Pharmacist (License #7916 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 489
Nicoma Park, OK 730660489
Phone: 4057698585
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