Michelle Duvall Blanton, D.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

8375 Issued in TN

Practice address

1616 E Main St
Humboldt, TN 38343-2904

Phone

(731) 784-3610

Fax

(731) 784-9989

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972717072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432904",
            "telephone_number": "731-784-3610",
            "fax_number": "731-784-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E MAIN ST",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383432904",
            "telephone_number": "731-784-3610",
            "fax_number": "731-784-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "MICHELLE",
        "middle_name": "DUVALL",
        "credential": "D.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "8375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE",
            "identifier": "0202009368",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTOR OF PHARMACY LICENS",
            "identifier": "8375",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Barnett
• Bethany Mayo Bearden, OD
• Behavioral Outreach Services, LLC
• Mariah Denise Blackwell, CNA
• Alexandria M Blakemore
• Stephanie Thomas Boling, FNP
• Patricia Craig Booher, NURSE PRACTITIONER
• Courtney Shea Brackeen, ATC/LAT
• Brilee Madison Bromley I
• Alivia Brown

• Pharmacist in Humboldt, TN
• Providers in Humboldt, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.