P Praxis·MD
● Active Type 1 · Individual

MR. Alvin Blackmon III, PHARMD

Pharmacist·Fort Gordon, GA· NPI 1104125095 · Enumerated 2011 · 15 years on NPI
Blackmon is 1 of 1 pharmacist providers in Fort Gordon and 1 of 5 in Georgia.
NPI age
15 years
Enumerated 2011-03-18
Primary specialty
Pharmacist
Plus 1 subspecialty
Licensed in
VA, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2011-03-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5 active pharmacist providers in Georgia.

NPI age
15 years
≈ at median (15 yr)
State licenses
2 states
Top 60% — 40% of peers are multi-state
Subspecialties
0
60% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-03Enumerated in NPPES
2011 2026

Where they practice

Practice location
300 W Hospital Rd
Fort Gordon, GA 309055741
📞 7067877763
Mailing address
300 W Hospital Rd
Fort Gordon, GA 309055741
📞 7067877763

Specialties

  • Pharmacist Primary
    A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals.
    VA license #0202205702LA license #017025 taxonomy 1835N0905X

Practice context

Part of a multi-provider practice. 238 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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