Active NPI
Danielle Ballentine, RPH
- Pharmacist
- Norwalk, CT
National Provider Identifier
1033487178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7921
- Practice address
- 235 Main St
Norwalk, CT 06851-2720 - Phone
- (203) 845-8767
- NPI assigned
- Dec 4, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7921 | CT | Primary |
Addresses
Primary practice location
235 Main St
Norwalk, CT 06851-2720
Mailing address
235 Main St
Norwalk, CT 06851-2720
Phone (203) 845-8767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7921 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322956800000",
"number": "1033487178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 MAIN ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068512720",
"telephone_number": "203-845-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 MAIN ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068512720",
"telephone_number": "203-845-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLENTINE",
"first_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-04",
"last_updated": "2011-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "7921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.