Grace Kathryn Blankenship
Individual provider Active NPI Pharmacy Technician · Cedar Bluff, VA
NPI 1831787696 · NPPES record last updated Jan 7, 2021
Key facts
- NPI
- 1831787696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- License
- 0203019820 (VA)
- Practice address
- 1135 Claypool Hill Mall Rd
Cedar Bluff, VA 24609-7013 - Phone
- (276) 964-5748
- NPI assigned
- Jan 7, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0203019820 | VA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K VA T Food Stores Inc | Past |
Accepting new patients | |
| K VA T Food Stores Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 0203019820 | VA | Yes |
Addresses
Primary practice location
1135 Claypool Hill Mall Rd
Cedar Bluff, VA 24609-7013
Mailing address
1135 Claypool Hill Mall Rd
Cedar Bluff, VA 24609-7013
Phone (276) 964-5748
Other providers in Cedar Bluff, VA
- Melissa Barton
- Shauntea Musick Barton
- Latoshia Renee Belcher
- Michael Steven Blackson
- Callee Blankenbeckler
- Trista Blankenship
- Gretchen Anne Blevins
- Gladys M Boone
- Leean Brooks
- Christy Laraine Brown
All providers in Cedar Bluff, VA · Pharmacy Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2021. 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.