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

Nicholas Coleman Blackwell

Individual provider Pharmacist · NPI 1508466137

Nicholas Coleman Blackwell is a Pharmacist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2020
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Practice location Address checks out

10991 San Jose Blvd Ste 1
Jacksonville, FL 32223-6600
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH026059 (GA)

Record details

NPI number1508466137
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 1, 2020
Last updated in NPPESNovember 1, 2020
Certification dateNovember 1, 2020

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