Ryan Blanco

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS34155 Issued in FL

Practice address

600 Plantation Island Dr S
Unit 3
St Augustine, FL 32080-6010

Phone

(904) 461-1081

Fax

(904) 461-1082

NPI assigned

Apr 20, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Island Family Pharmacy Inc

  • Community/Retail Pharmacy
  • St Augustine, FL
  • NPI 1477666956
  NPD Authorized official
• Island Family Pharmacy Inc

  • Long Term Care Pharmacy
  • St Augustine, FL
  • NPI 1811707227
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1043744634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PLANTATION ISLAND DR S",
            "address_2": "UNIT 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806010",
            "telephone_number": "904-461-1081",
            "fax_number": "904-461-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLANTATION ISLAND DR S",
            "address_2": "UNIT 3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320806010",
            "telephone_number": "904-461-1081",
            "fax_number": "904-461-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Black
• Sarah Rose Blackwelder
• Blade and Bridge Healthcare PLLC
• Melanie Blair, SLP
• Romeo Blanchette II, PHARMD
• Roberta Blancq, PT
• Adrian Bland, OT, DPT
• Brandi M Bland, HIS
• Kathryn Anne Blazer
• Carrie Bleichwehl

• Pharmacist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.