BLACKWELL PHARMACY LLC
BLACKWELL PHARMACY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1548629579, based in Blackwell, OK. The organization lists 4 taxonomy classifications, with Community/Retail Pharmacy recorded as primary.
Getting there
The practice address on file is 1004 W DOOLIN AVE, Blackwell, OK 74631. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 0648579466
Enrolled in Medicare 4 times, across 1 state:
| State | Enrollment ID | Provider type |
|---|---|---|
| Oklahoma | O20160429000601 | Part B Supplier - Mass Immunization (roster Biller Only) |
| Oklahoma | O20190814000787 | Dme Supplier - Pharmacy |
| Oklahoma | O20211220001454 | Part B Supplier - Independent Clinical Laboratory |
| Oklahoma | O20230510001071 | Part B Supplier - Pharmacy |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). There are 4 separate enrolment records. Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Community/Retail Pharmacy covers
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. NUCC Health Care Provider Taxonomy, code 3336C0003X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy Community/Retail Pharmacy | — | — | primary |
| 3336C0004X | Compounding Pharmacy Compounding Pharmacy | — | — | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | — | |
| 3336L0003X | Long Term Care Pharmacy Long Term Care Pharmacy | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1548629579 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Feb 18, 2016 |
| Last updated | Aug 19, 2024 |
| Status | Active |
| Practice address |
1004 W DOOLIN AVE Blackwell, OK 74631 (580) 363-2137 Fax (580) 363-5582 |
| Mailing address |
14101 N EASTERN AVE STE A Edmond, OK 73013 |
| Other identifiers |
200634910 A
· Medicaid (OK) 200634910A · Medicaid (OK) 2158214 · Other |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 4 | 8 | 6 | 2 | 9 | 5 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 8 | 8 | 3 | 2 | 9 | 5 | 5 |
Sum = 71 · next multiple of 10 = 80 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.