Mark Lee Blanton

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0202010024 Issued in VA

Practice address

310 Cloverleaf SQ Ste A1
Big Stone Gap, VA 24219-3074

Phone

(276) 523-2100

Fax

(276) 523-2101

NPI assigned

Jan 21, 2021

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

Electronic endpoints 1

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.

• Union Drug, Inc.

  • Community/Retail Pharmacy
  • Big Stone Gap, VA
  • NPI 1568877470
  NPD Authorized official

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1053901272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CLOVERLEAF SQ STE A1",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193074",
            "telephone_number": "276-523-2100",
            "fax_number": "276-523-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CLOVERLEAF SQ STE A1",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242193074",
            "telephone_number": "276-523-2100",
            "fax_number": "276-523-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "MARK",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0202010024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uniondruginc@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "310 Cloverleaf Sq Ste A1",
            "city": "Big Stone Gap",
            "state": "VA",
            "country_code": "US",
            "postal_code": "242193074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Big Stone Gap Rescue Squad, Inc.
• Patty Biles, CRNA
• Christopher Eugene Bishop, DO
• Doris Jean Bishop
• Daphne Dawn Blanton, M.ED
• Rachel Allison Bledsoe, RDH
• Blue Ridge Medical Management Corpoartion
• Judy Ann Bolling
• Rebecca Faith Bolling, LPN
• Susan Kay Bolling

• All providers in Big Stone Gap, VA
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.