Active NPI
Celestina Blount, PHARMD
- Pharmacist
- Lake Worth, FL
National Provider Identifier
1336794247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59592
- Practice address
- 4020 S Jog Rd
Lake Worth, FL 33467-4035 - Phone
- (561) 965-3060
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | PS59592 | FL | Primary |
Addresses
Primary practice location
4020 S Jog Rd
Lake Worth, FL 33467-4035
Mailing address
4020 S Jog Rd
Lake Worth, FL 33467-4035
Phone (561) 965-3060
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59592 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
4020 S Jog Rd
Greenacres, FL 33467
Phone (561) 965-3060
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1336794247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 S JOG RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334674035",
"telephone_number": "561-965-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 S JOG RD",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334674035",
"telephone_number": "561-965-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUNT",
"first_name": "CELESTINA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2023-02-10",
"certification_date": "2021-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.