Individual provider Active NPI

Monica Lynn Blankenship, PHARMD

  • Pharmacist
  • Bastian, VA
National Provider Identifier
1740880319
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202205202 Issued in VA
Practice address
12235 Grapefield Rd Unit 1
Bastian, VA 24314-4623
Phone
(276) 688-2424
Fax
(276) 688-2355
NPI assigned
Oct 31, 2020
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202205202 VA Primary

Addresses

Primary practice location

12235 Grapefield Rd Unit 1
Bastian, VA 24314-4623

Mailing address

12235 Grapefield Rd Unit 1
Bastian, VA 24314-4623
Phone (276) 688-2424

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

LicenseStateTypeSpecialty
0202205202VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
True Blue Pharmacy Inc CurrentSince Aug 25, 2024 Accepting new patients

Locations

12235 Grapefield Rd
Unit 1
Bastian, VA 24314
Phone (276) 688-2424

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1740880319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12235 GRAPEFIELD RD UNIT 1",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144623",
            "telephone_number": "276-688-2424",
            "fax_number": "276-688-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12235 GRAPEFIELD RD UNIT 1",
            "city": "BASTIAN",
            "state": "VA",
            "postal_code": "243144623",
            "telephone_number": "276-688-2424",
            "fax_number": "276-688-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.