Jo Perry Blankenship, R.PH.
Individual provider Active NPI Pharmacist · Deridder, LA
NPI 1275879488 · NPPES record last updated Dec 14, 2012
Key facts
- NPI
- 1275879488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13123 (LA)
- Practice address
- 916 N Pine St
Deridder, LA 70634-2816 - Phone
- (318) 462-2019
- NPI assigned
- Dec 14, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13123 | LA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13123 | LA | Yes |
Addresses
Primary practice location
916 N Pine St
Deridder, LA 70634-2816
Mailing address
916 N Pine St
Deridder, LA 70634-2816
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.