DR. TIFFANY JOI BLACKMON (NPI# 1881979789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881979789 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY JOI BLACKMON |
| Credential | PHARMD. |
| Practice Address |
925 Barton Blvd Rockledge FL 32955-3129 |
| Practice Telephone | 3216382482 |
| Mailing Telephone | 3216382482 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS45832 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689154684 | Tiffany Faye Blackmon | Registered Nurse | 11251 Terra Loop Rd, San Antonio, TX 78233-6832 | 2018-08-19 |
| 1881002095 | Tiffany Blackmon | Specialist | 700 Shelley Ct, Rodeo, CA 94572-2009 | 2014-07-31 |
| Street Address |
925 BARTON BLVD |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265447494 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 925 Barton Blvd, Rockledge, FL 32955-3129 | 2006-07-29 |
| 1114451895 | Jessica Meyers | Pharmacist | 925 Barton Blvd, Rockledge, FL 32955-3129 | 2017-04-19 |
| 1992085492 | John D Moore Sr. | Pharmacist | 925 Barton Blvd, Rockledge, FL 32955-3129 | 2011-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689154551 | Alexa Diec | Pharmacist | 2370 S Fiske Blvd, Rockledge, FL 32955-3424 | 2018-08-20 |
| 1457848087 | Celeste J Small | Pharmacist | 390 Tunbridge Dr, Rockledge, FL 32955-4763 | 2018-04-19 |
| 1629485636 | Long Tran | Pharmacist | 825 Saint Michel Dr, Rockledge, FL 32955-4184 | 2014-07-22 |
| 1639416464 | Paul Landreville | Pharmacist | 1228 Marquise Ct, Rockledge, FL 32955-4404 | 2013-01-14 |
| 1033494570 | Justin Brooks | Pharmacist | 4056 Meander Pl Unit 201, Rockledge, FL 32955-5277 | 2011-10-17 |
| 1013299452 | Marisela Castillo | Pharmacist | 5380 Stadium Pkwy, Ste 100, Rockledge, FL 32955 | 2011-09-12 |
| 1609082585 | Sesha Rao Achanta | Pharmacist | 5270 Babcock St, Rockledge, FL 32955 | 2007-05-15 |
| 1801916549 | Margaret B Daly | Pharmacist | 108 Plover Ln, Rockledge, FL 32955-5766 | 2007-03-29 |
| 1861005621 | Balaka Sampathkumar | Pharmacist | 5475 Murrell Rd, Rockledge, FL 32955-6665 | 2020-08-30 |
| 1104452655 | Keith Sebastian Gelzinis | Pharmacist | 220 Barton Blvd Unit C-14, Rockledge, FL 32955-2742 | 2020-03-17 |
| Find all providers in ROCKLEDGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.