IndividualActive
Mark Blanton
NPI 1053901272 · Community/Retail Pharmacy · Big Stone Gap, VA
Provider details
- NPI number
- 1053901272
- Entity type
- Individual
- Primary specialty
- Community/Retail PharmacySuppliers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0202010024 (VA)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
310 Cloverleaf Sq Ste A1
Big Stone Gap, VA 24219-3074
Phone: (276) 523-2100
Fax: (276) 523-2101
Street-level locationGet directions
Mailing address
310 Cloverleaf Sq Ste A1
Big Stone Gap, VA 24219-3074
Registry dates
- Enumerated
- 2021-01-21
- Last updated
- 2021-01-21
- Certified
- 2021-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.