Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962986810 Individual Practitioner Male Practitioner

Kenneth Blanton

Pharmacist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Kenneth Blanton is a registered healthcare professional specializing in Pharmacist in Tyler, TX. Practice services are available at 1301 CLINIC DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 Clinic Dr

Tyler, TX 757012120

Telephone 9035928635
Associated Practice Facility / Clinic
🏢 Allen's Nutech Inc. Facility NPI 1487118741

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
182 Specialists

Practicing in Tyler, TX (18958 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: 2024-01-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License TX 70668

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.

Pharmacist - Nuclear

NUCC Taxonomy Code: 1835N0905X

State License TX 70668

A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1053172213
NPI 1336900588

Doctor of Pharmacy (Pharm.D.)

Carter Henderson

Student in an Organized Health Care Education/Training Program

NPI 1568204113
NPI 1639945439
Rey Dimas

Pharmacist

NPI 1831931484

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 18, 2024

Registered at 1301 CLINIC DR, TYLER, TX 757012120 (Tel: 9035928635)

📍
Updated Business Mailing Address January 18, 2024

Registered at 5935 PINE CONE LN, TYLER, TX 757076288 (Tel: 9038304148)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2024

Pharmacist (License #70668 in TX)

📍
Updated Business Mailing Address July 29, 2019

Registered at 2601 SSE LOOP 323 APT 145, TYLER, TX 757016425 (Tel: 9038304148)

NPI Profile Active September 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 17, 2018

Registered at 3900 UNIVERSITY BLVD, TYLER, TX 757996600 (Tel: 9035655777)

📍
Updated Business Mailing Address September 17, 2018

Registered at 2601 SSE LOOP 323 APT 136, TYLER, TX 757016425 (Tel: 9038304148)

👤
Provider Name / Credentials Updated September 17, 2018

Recorded as KENNETH BLANTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 17, 2018

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: 1962986810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2018
Last Update: January 18, 2024
Sole Proprietor: No

Mailing Address

5935 Pine Cone Ln

Tyler, TX 757076288

Phone: 9038304148

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.