Elizabeth Ballew, PHARMD

Individual provider Active NPI Pharmacist · Aptos, CA

NPI 1013258946 · NPPES record last updated Mar 1, 2013

Key facts

NPI
1013258946
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
58766 (CA)
Practice address
16 Rancho del Mar
Aptos, CA 95003-3902
Phone
(831) 661-4861
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 58766 CA Yes

Addresses

Primary practice location

16 Rancho del Mar
Aptos, CA 95003-3902

Mailing address

228 Shoreview Dr
Aptos, CA 95003-4621
Phone (831) 685-8060

Other providers in Aptos, CA

All providers in Aptos, CA · Pharmacist in California

Sources for this page

Verify at the official NPI Registry.