IndividualActive
Gary Blackmon, R.PH.
NPI 1053591057 · Pharmacist · Port St Lucie, FL
Gary Blackmon, R.PH. is a Pharmacist provider in Port St Lucie, FL (NPI 1053591057).
Provider details
- NPI number
- 1053591057
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- No
- License
- PS0020470 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1025 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5386
Phone: (772) 335-4200
Street-level locationGet directions
Mailing address
961 Se Thornhill Dr
Port St Lucie, FL 34983-4057
Registry dates
- Enumerated
- 2007-11-07
- Last updated
- 2007-11-07
Frequently asked questions
- What is Gary Blackmon's NPI number?
- Gary Blackmon's National Provider Identifier (NPI) is 1053591057, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Blackmon's specialty?
- Gary Blackmon is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Gary Blackmon located?
- Gary Blackmon's practice location on file with NPPES is 1025 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5386.
- What is Gary Blackmon's phone number?
- The practice phone number listed in the NPPES registry for Gary Blackmon is (772) 335-4200.
- Is Gary Blackmon's NPI active?
- Yes — Gary Blackmon's NPI (1053591057) is active in the NPPES registry as of the last update on 2007-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.