MR. GARY M BLACKMON (R.PH.) – Pharmacist, NPI 1053591057

MR. GARY M BLACKMON (R.PH.) is a healthcare provider. based in Port st lucie, Florida. specializing in Pharmacist. They hold the professional credentials R.PH.. They hold a License No. PS0020470 (FL). The NPI Number for MR. GARY M BLACKMON (R.PH.) is 1053591057

Main info

Male
Name
MR. GARY M BLACKMON (R.PH.)
NPI
1053591057
Phone
(772) 879-4186
Address
961 SE THORNHILL DR
Enumeration Date
7 November 2007
Last Update Date
7 November 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for MR. GARY M BLACKMON (R.PH.)

  • 961, Southeast Thornhill Drive, Port St. Lucie, St. Lucie County, Florida, 34983, United States

    PORT ST LUCIE, FL 349834057

    Phone: (772) 879-4186

    Type: Mailing

  • Walgreens, 1025, Southeast Port St Lucie Boulevard, Port St. Lucie, St. Lucie County, Florida, 34984, United States

    PORT ST LUCIE, FL 349525386

    Phone: (772) 335-4200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34983)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. GARY M BLACKMON (R.PH.)'s NPI?
Yes. MR. GARY M BLACKMON (R.PH.) is listed with NPI 1053591057 in the public NPI dataset.
Can I rely on MR. GARY M BLACKMON (R.PH.) being an active provider?
As of the registry snapshot, MR. GARY M BLACKMON (R.PH.) is marked active.
What taxonomy line describes MR. GARY M BLACKMON (R.PH.)?
For research purposes, treat MR. GARY M BLACKMON (R.PH.) as Pharmacist in this dataset. Clinical services aligned with this taxonomy classification.
Does MR. GARY M BLACKMON (R.PH.) list a practice location?
Patients near Port St Lucie, Florida may find MR. GARY M BLACKMON (R.PH.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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