Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jebadiah Cody Blackham, PHARMD

Individual provider Pharmacist · NPI 1063865160

Dr. Jebadiah Cody Blackham, PHARMD is a Pharmacist in Layton, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2016
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

860 N Fairfield Rd
Layton, UT 84041-2725
Phone: (801) 546-6352
Fax: (801) 546-3754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 7640036-1701 (UT)

Record details

NPI number1063865160
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedJuly 13, 2016
Last updated in NPPESJuly 13, 2016

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