Jennifer Sara Blake, PHARMD
NPI 1396930632ActiveIndividual· Pharmacist, Pharmacotherapy· Salt Lake City, UT
Pharmacist, Pharmacotherapy (PHARMD) in Salt Lake City, Utah, licensed in UT and VA, with an NPI issued in September 2007.
Overview
| NPI | 1396930632 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARMD |
| Sole proprietor | No |
| NPI issued | Sep 10, 2007 |
| Last updated in NPPES | May 13, 2024 |
| Certified by provider | May 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist, Pharmacotherapy Primary | 1835P1200X | 5565622-1701 | UT |
| Pharmacist, Pharmacotherapy | 1835P1200X | 5565622-8911 | UT |
| Pharmacist, Pharmacotherapy | 1835P1200X | 0202210339 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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