MR. GARY M BLACKMON R.PH.
NPI 1053591057
Pharmacist in Port St Lucie, FL

Active since November 07, 2007
1025 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 335-4200 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Gary M Blackmon R.ph. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY M BLACKMON R.PH. (NPI 1053591057) is an individual pharmacist in Port St Lucie, Florida, licensed in Florida (PS0020470) and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1053591057
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. GARY M BLACKMONCredential: R.PH.
Location Address1025 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5386
Mailing Address961 Se Thornhill DrPort St Lucie, FL 34983-4057 · (772) 879-4186
Sole ProprietorNo
Enumeration DateNovember 7, 2007
NPI 1053591057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS0020470
Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

1025 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
Pharmacy (Community/Retail Pharmacy)
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952
Pharmacist
1025 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL 34952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053591057, enumerated as an "individual" on November 07, 2007.

The provider is located at 1025 SE PORT ST LUCIE BLVD PORT ST LUCIE, FL 34952 and the phone number is (772) 335-4200.

Pharmacist with taxonomy code 183500000X.