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

Dr. Jimmy Blackburn Jr., PHARMD

Individual provider Pharmacist · NPI 1295144830

Dr. Jimmy Blackburn Jr., PHARMD is a Pharmacist in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2014.

Licensed in
OK
In the registry since
2014
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

1500 E Downing St Ste 6
Tahlequah, OK 74464-3234
Phone: (918) 456-0694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 15235 (OK)

Record details

NPI number1295144830
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 7, 2014
Last updated in NPPESJuly 21, 2022

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