Jon Mark Plummer, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS33608 Issued in FL

Practice address

20370 Central Ave W
Blountstown, FL 32424-1945

Phone

(850) 674-2222

Fax

(850) 674-2263

NPI assigned

Feb 25, 2021

Last updated

Feb 25, 2021By the provider in NPPES

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

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blountstown Drug Inc.

  • Pharmacist
  • Blountstown, FL
  • NPI 1225100621
  NPD Authorized official

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1205420775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16570 SW CHIPOLA RD",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324249655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20370 CENTRAL AVE W",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324241945",
            "telephone_number": "850-674-2222",
            "fax_number": "850-674-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMMER",
        "first_name": "JON",
        "middle_name": "MARK",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS33608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Patnode, LMHC
• Verna L Patterson-Roberts, MASTERS
• PHC-Blountstown Inc
• Marcella Denise Phillips
• Jessie W Pippin
• Cindy Mears Porter, ARNP
• Alecia Presbitero, RBT
• Madelyn Shiplov Price, MCD/CCC-SLP
• Regency Care of Blountstown, LLC (Blountstown Health & Rehabilitation Center)
• Jarom Arthur Ricks, OTR/L

• Pharmacist in Blountstown, FL
• Providers in Blountstown, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.