Active NPI
Emily Claire Blackmon
- Pharmacist
- Crestview, FL
National Provider Identifier
1255987996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53299
- Practice address
- 1116 N Ferdon Blvd
Crestview, FL 32536-1710 - Phone
- (850) 683-1111
- NPI assigned
- Aug 16, 2019
- Last updated
- Aug 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS53299 | FL | Primary |
Addresses
Primary practice location
1116 N Ferdon Blvd
Crestview, FL 32536-1710
Mailing address
1116 N Ferdon Blvd
Crestview, FL 32536-1710
Phone (850) 683-1111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | crestviewpharmacyfla.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS53299 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1255987996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1116 N FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325361710",
"telephone_number": "850-683-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1116 N FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325361710",
"telephone_number": "850-683-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMON",
"first_name": "EMILY",
"middle_name": "CLAIRE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53299",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "crestviewpharmacyfla.com",
"affiliation": "N",
"address_1": "1116 N Ferdon Blvd",
"city": "Crestview",
"state": "FL",
"country_code": "US",
"postal_code": "325361710",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Crestview, FL
- Marcy M Bertling, LMT
- Terumi Best, RBT
- Beyond Expectations Inc.
- Heather T Bien, PA
- Austin C. Black, AU.D.
- Ashleigh Blakely, MSN, APRN, FNP-C
- Amber Coleen Blocker, DPT
- Connie Blount, CD(DONA)
- Blue Ridge Speech Therapy, LLC (Little Lights Speech & Language Services)
- Bluewater Orthopedics, P.a. (Bluewater Orthopedics and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.