Blackwell Pharmacy LLC
Blackwell Pharmacy LLC is a healthcare organization registered as Community/Retail Pharmacy in Blackwell, OK, holding Type 2 (organization) NPI 1548629579 since 2016. The authorized official on file is David George, Co-Owner/Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548629579 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blackwell Pharmacy LLC |
| Other name | <Unavail> |
| Practice address | 1004 W DOOLIN AVE, Blackwell, OK, 74631 |
| Phone | 5803632137 |
| Fax | 5803635582 |
| Enumeration date | 2016-02-18 |
| Last updated in NPPES | 2024-08-19 |
Authorized official
| Name | David George |
|---|---|
| Title | Co-Owner/Manager |
| Phone | 5802847896 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200634910 A | Medicaid | OK | — |
| 200634910A | Medicaid | OK | — |
| 2158214 | Other | — | PK |
Copy-ready billing details
Provider: Blackwell Pharmacy LLC NPI: 1548629579 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1004 W DOOLIN AVE, Blackwell, OK, 74631
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407679400 | Blackwell Pharmacy LLC | Organization | Long Term Care Pharmacy | Blackwell, OK |
Verify this record
Cross-check NPI 1548629579 against the authoritative CMS record: view Blackwell Pharmacy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Blackwell Pharmacy LLC?
What is the NPI number for Blackwell Pharmacy LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-08-19.